Medicaid Provider Spending

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

FENTON SMILES PLLC

NPI: 1316570526 · FENTON, MI 48430 · General Practice Dentistry · NPI assigned 02/16/2020

$9K
Total Medicaid Paid
283
Total Claims
283
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGIVENS, ALEX (OWNER)
NPI Enumeration Date02/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 115 $4K
2024 168 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 104 104 $4K
D1206 Topical application of fluoride varnish 120 120 $3K
D0120 Periodic oral evaluation - established patient 59 59 $2K