Medicaid Provider Spending

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

FAMILY DENTISTRY AUVILLE M KRAUSE

NPI: 1275144537 · PORTAGE, MI 49002 · General Practice Dentistry · NPI assigned 08/11/2020

$13K
Total Medicaid Paid
571
Total Claims
570
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHEPPARD, ASHLEY (OFFICE MANAGER)
NPI Enumeration Date08/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 85 $2K
2021 178 $3K
2022 71 $2K
2023 180 $4K
2024 57 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 391 391 $8K
D1206 Topical application of fluoride varnish 109 108 $2K
D1120 Prophylaxis - child 42 42 $1K
D1110 Prophylaxis - adult 29 29 $1K