Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › HOLLAND › ANDERSON FAMILY AND COSMETIC DENTISTRY

ANDERSON FAMILY AND COSMETIC DENTISTRY

NPI: 1194290999 · HOLLAND, MI 49424 · General Practice Dentistry · NPI assigned 10/08/2018

$392.00
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2023-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialANDERSON, THOMAS (OWNER)
NPI Enumeration Date10/08/2018

Related Entities

Other providers sharing the same authorized official: ANDERSON, THOMAS

ProviderCityStateTotal Paid
AIRPORT TAXI, INC NEW HOPE MN $82.25M
SMITHVILLE EYE CENTER LLC SMITHVILLE MO $504K
ATCHISON EYE CENTER, LLC ATCHISON KS $418K
DR T ANDERSON OD LLC ATCHISON KS $44K
THOMAS A ANDERSON DDS III CEDAR RAPIDS IA $39K
THOMAS J ANDERSON D.M.D. PA HOULTON ME $180.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $392.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $210.00
D1206 Topical application of fluoride varnish 13 13 $182.00