Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › DE PERE › CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

NPI: 1205905619 · DE PERE, WI 54115 · Pediatric Dentist · NPI assigned 11/07/2006

$6K
Total Medicaid Paid
319
Total Claims
313
Beneficiaries
3
Codes Billed
2018-06
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMILLER, MARGARET (PEDIATRIC DENTIST)
NPI Enumeration Date11/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $1K
2019 169 $4K
2020 41 $852.08
2021 40 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 210 204 $3K
D0120 Periodic oral evaluation - established patient 95 95 $2K
D1120 Prophylaxis - child 14 14 $329.40