Medicaid Provider Spending

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

MARQUETTE FAMILY DENTAL PLLC

NPI: 1346714821 · MARQUETTE, MI 49855 · Dental Clinic/Center · NPI assigned 01/17/2019

$50K
Total Medicaid Paid
1,693
Total Claims
1,693
Beneficiaries
7
Codes Billed
2020-07
First Month
2024-04
Last Month

Provider Details

Authorized OfficialBLAU, KYLE (DOCTOR- OWNER)
NPI Enumeration Date01/17/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 210 $7K
2021 473 $15K
2022 495 $14K
2023 410 $12K
2024 105 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 699 699 $18K
D1110 Prophylaxis - adult 242 242 $12K
D1120 Prophylaxis - child 274 274 $10K
D1208 Topical application of fluoride, excluding varnish 369 369 $8K
D0274 Bitewings - four radiographic images 36 36 $1K
D0220 Intraoral - periapical first radiographic image 49 49 $708.53
D0230 Intraoral - periapical each additional radiographic image 24 24 $191.00