Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ERIC S LAROUE DDS PC
NPI: 1326690090 · NEWBERRY, MI 49868 ·
Dentist
· NPI assigned 07/12/2019
$3K
Total Medicaid Paid
118
Total Claims
118
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-08
Last Month
Provider Details
Authorized Official
LAROUE, ERIC
(OWNER/DENTIST)
NPI Enumeration Date
07/12/2019
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
52
$1K
2024
66
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
93
93
$2K
D1120
Prophylaxis - child
13
13
$403.09
D1206
Topical application of fluoride varnish
12
12
$356.00