Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › MARQUETTE › MARQUETTE PEDIATRIC DENTISTRY, P.C.

MARQUETTE PEDIATRIC DENTISTRY, P.C.

NPI: 1255581419 · MARQUETTE, MI 49855 · Dental Clinic/Center · NPI assigned 09/24/2008

$45K
Total Medicaid Paid
1,401
Total Claims
1,376
Beneficiaries
6
Codes Billed
2018-04
First Month
2018-12
Last Month

Provider Details

Authorized OfficialTYLER, ERIKA (PRESIDENT)
NPI Enumeration Date09/24/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,401 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 360 359 $14K
D0120 Periodic oral evaluation - established patient 401 401 $13K
D1206 Topical application of fluoride varnish 445 443 $12K
D0272 Bitewings - two radiographic images 118 118 $3K
D1351 Sealant - per tooth 48 27 $2K
D0220 Intraoral - periapical first radiographic image 29 28 $560.00