Medicaid Provider Spending

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

DRUSKOVICH DENTAL PC

NPI: 1376281931 · DECATUR, MI 49045 · Dental Clinic/Center · NPI assigned 05/24/2022

$5K
Total Medicaid Paid
204
Total Claims
204
Beneficiaries
4
Codes Billed
2022-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDRUSKOVICH, CARL (DENTIST)
NPI Enumeration Date05/24/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 17 $435.00
2023 160 $4K
2024 27 $225.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 109 109 $3K
D1208 Topical application of fluoride, excluding varnish 58 58 $1K
D1120 Prophylaxis - child 25 25 $1K
D0274 Bitewings - four radiographic images 12 12 $304.03