Medicaid Provider Spending

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

JARED S ELLINGER DDS PLLC

NPI: 1295310118 · COLDWATER, MI 49036 · General Practice Dentistry · NPI assigned 03/11/2021

$17K
Total Medicaid Paid
731
Total Claims
726
Beneficiaries
7
Codes Billed
2021-06
First Month
2022-01
Last Month

Provider Details

Authorized OfficialELLINGER, JARED (CEO/OWNER)
NPI Enumeration Date03/11/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 658 $15K
2022 73 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 173 172 $6K
D0120 Periodic oral evaluation - established patient 177 177 $4K
D1208 Topical application of fluoride, excluding varnish 189 188 $4K
D1110 Prophylaxis - adult 40 40 $2K
D0220 Intraoral - periapical first radiographic image 84 84 $1K
D0230 Intraoral - periapical each additional radiographic image 55 52 $416.84
D0274 Bitewings - four radiographic images 13 13 $328.56