Medicaid Provider Spending

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

PORTNOY AND TU DDS PC

NPI: 1316952732 · OKEMOS, MI 48864 · General Practice Dentistry · NPI assigned 07/31/2006

$1K
Total Medicaid Paid
109
Total Claims
107
Beneficiaries
3
Codes Billed
2020-06
First Month
2022-08
Last Month

Provider Details

Authorized OfficialPORTNOY, GIANH (PRESIDENT)
NPI Enumeration Date07/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 72 $1K
2021 13 $140.00
2022 24 $282.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 55 54 $765.44
D1206 Topical application of fluoride varnish 39 39 $401.29
D1120 Prophylaxis - child 15 14 $322.06