Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRANDVILLE › IVANREST FAMILY DENTISTRY

IVANREST FAMILY DENTISTRY

NPI: 1215483284 · GRANDVILLE, MI 49418 · Dentist · NPI assigned 08/30/2016

$8K
Total Medicaid Paid
323
Total Claims
323
Beneficiaries
3
Codes Billed
2019-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialEGGLESTON, ROBERT (OWNER)
NPI Enumeration Date08/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $590.30
2020 79 $2K
2021 117 $3K
2022 43 $856.79
2023 46 $1K
2024 13 $332.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 240 240 $6K
D1120 Prophylaxis - child 51 51 $2K
D1208 Topical application of fluoride, excluding varnish 32 32 $712.05