Medicaid Provider Spending

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

ST. HELEN FAMILY DENTISTRY

NPI: 1376272476 · SAINT HELEN, MI 48656 · General Practice Dentistry · NPI assigned 06/06/2022

$5K
Total Medicaid Paid
210
Total Claims
210
Beneficiary Records
3
Codes Billed
2022-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialTOZER, JENNIFER (OFFICE MANAGER)
NPI Enumeration Date06/06/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 14 $322.58
2023 144 $4K
2024 52 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 117 117 $3K
D1120 Prophylaxis - child 52 52 $2K
D1206 Topical application of fluoride varnish 41 41 $900.00