Medicaid Provider Spending

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

SUNRISE FAMILY DENTAL CARE

NPI: 1184283368 · HOWELL, MI 48843 · Dental Clinic/Center · NPI assigned 06/11/2019

$3K
Total Medicaid Paid
124
Total Claims
124
Beneficiaries
2
Codes Billed
2020-08
First Month
2023-04
Last Month

Provider Details

Authorized OfficialCOCKING, LLOYD (OPERATIONS MANAGER/IN-HOUSE COUNSEL)
NPI Enumeration Date06/11/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $588.72
2021 56 $1K
2022 12 $182.00
2023 28 $584.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 70 70 $1K
D0120 Periodic oral evaluation - established patient 54 54 $1K