Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › HOWELL › GREAT LAKES FAMILY DENTALGROUP-HOWELL

GREAT LAKES FAMILY DENTALGROUP-HOWELL

NPI: 1235308826 · HOWELL, MI 48843 · General Practice Dentistry · NPI assigned 02/27/2008

$3K
Total Medicaid Paid
118
Total Claims
115
Beneficiaries
4
Codes Billed
2020-07
First Month
2022-11
Last Month

Provider Details

Authorized OfficialHART, PATRICIA (CORPORATE MANAGER)
NPI Enumeration Date02/27/2008

Related Entities

Other providers sharing the same authorized official: HART, PATRICIA

ProviderCityStateTotal Paid
GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC SAGINAW MI $436K
GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C. MUNCIE IN $429K
C PATRICK GRAY DDS PC FLINT MI $310K
GREAT LAKES FAMILY DENTAL GROUP BLISSFIELD PC BLISSFIELD MI $142K
GREAT LAKES FAMILY DENTAL GROUP - TECUMSEH PC TECUMSEH MI $102K
GREAT LAKES FAMILY DENTAL GROUP-ALMONT,P.C. ALMONT MI $68K
GREAT LAKES FAMILY DENTAL GROUP-WARREN, P.C. WARREN MI $30K
GREAT LAKES FAMILY DENTAL GROUP - MT MORRIS PC MT MORRIS MI $15K
GREAT LAKES FAMILY DENTAL GROUP-ST. JOSEPH SAINT JOSEPH MI $3K
GREAT LAKES FAMILY DENTAL GROUP-DEWITT, P.C. DEWITT MI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $842.13
2021 27 $947.84
2022 50 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 78 78 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 15 12 $658.31
D1120 Prophylaxis - child 13 13 $420.00
D1206 Topical application of fluoride varnish 12 12 $182.00