Medicaid Provider Spending

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

FORSYTH FAMILY DENTISTRY, P.C.

NPI: 1245364306 · GAYLORD, MI 49735 · General Practice Dentistry · NPI assigned 03/14/2007

$16K
Total Medicaid Paid
560
Total Claims
557
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialFORSYTH, STEPHEN (PRESIDENT)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 560 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 258 255 $7K
D1120 Prophylaxis - child 140 140 $5K
D1206 Topical application of fluoride varnish 119 119 $3K
D1110 Prophylaxis - adult 28 28 $1K
D0272 Bitewings - two radiographic images 15 15 $375.00