Medicaid Provider Spending

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

SANTA FE FAMILY DENTISTRY LTD

NPI: 1225427396 · SAINT CLAIR, MI 48079 · General Practice Dentistry · NPI assigned 01/13/2015

$9K
Total Medicaid Paid
228
Total Claims
228
Beneficiaries
4
Codes Billed
2019-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialPOPE, JARED (CEO)
NPI Enumeration Date01/13/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 228 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 131 131 $4K
D0210 Intraoral - complete series of radiographic images 49 49 $3K
D1110 Prophylaxis - adult 36 36 $2K
D0140 Limited oral evaluation - problem focused 12 12 $319.38