Medicaid Provider Spending

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

STINES DENTAL ASSOCIATES

NPI: 1265603757 · SOUTHFIELD, MI 48075 · Prosthodontist · NPI assigned 03/12/2008

$48K
Total Medicaid Paid
1,504
Total Claims
1,504
Beneficiaries
5
Codes Billed
2020-07
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSTINES, MICHELLE (PRESIDENT)
NPI Enumeration Date03/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 220 $8K
2021 503 $16K
2022 349 $11K
2023 285 $8K
2024 147 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 686 686 $22K
D1120 Prophylaxis - child 302 302 $12K
D1208 Topical application of fluoride, excluding varnish 326 326 $8K
D1206 Topical application of fluoride varnish 160 160 $4K
D1110 Prophylaxis - adult 30 30 $2K