Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KITRIDGE ANDERSON, DDS PC

NPI: 1154558898 · ONAWAY, MI 49765 · General Practice Dentistry · NPI assigned 06/21/2009

$11K
Total Medicaid Paid
423
Total Claims
423
Beneficiaries
4
Codes Billed
2020-06
First Month
2023-03
Last Month

Provider Details

Authorized OfficialANDERSON, KITRIDGE (PRESIDENT)
NPI Enumeration Date06/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 103 $3K
2021 166 $4K
2022 111 $3K
2023 43 $950.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 235 235 $6K
D1206 Topical application of fluoride varnish 114 114 $3K
D1120 Prophylaxis - child 62 62 $2K
D1110 Prophylaxis - adult 12 12 $432.00