Medicaid Provider Spending

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

DAVID A. NOFFERT, D.D.S., P.C.

NPI: 1316675952 · IMLAY CITY, MI 48444 · Dental Clinic/Center · NPI assigned 08/11/2022

$12K
Total Medicaid Paid
478
Total Claims
478
Beneficiaries
5
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAER, WENDY (INSURANCE COORDINATOR)
NPI Enumeration Date08/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 79 $2K
2023 285 $8K
2024 114 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 187 187 $5K
D1206 Topical application of fluoride varnish 136 136 $3K
D1120 Prophylaxis - child 55 55 $2K
D0274 Bitewings - four radiographic images 75 75 $2K
D1110 Prophylaxis - adult 25 25 $1K