Medicaid Provider Spending

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

FAMILY DENTISTRY OF LOWELL

NPI: 1154847184 · LOWELL, MI 49331 · General Practice Dentistry · NPI assigned 08/22/2017

$17K
Total Medicaid Paid
554
Total Claims
546
Beneficiaries
6
Codes Billed
2020-06
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBYRD, JENNIFER (DENTIST)
NPI Enumeration Date08/22/2017

Related Entities

Other providers sharing the same authorized official: BYRD, JENNIFER

ProviderCityStateTotal Paid
D & J DRUGS INC GOLDSBORO NC $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 224 $8K
2021 168 $5K
2022 68 $2K
2023 94 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 338 338 $8K
D1120 Prophylaxis - child 120 120 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 12 $3K
D1206 Topical application of fluoride varnish 47 47 $1K
D1110 Prophylaxis - adult 12 12 $594.00
D0272 Bitewings - two radiographic images 17 17 $384.00