Medicaid Provider Spending

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

STANDISH FAMILY DENTAL CENTER PLLC

NPI: 1386345551 · STANDISH, MI 48658 · Dental Clinic/Center · NPI assigned 03/15/2023

$20K
Total Medicaid Paid
743
Total Claims
739
Beneficiaries
3
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDWAN, ANDREW (OWNER)
NPI Enumeration Date03/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 368 $10K
2024 375 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 339 337 $8K
D1120 Prophylaxis - child 175 175 $7K
D0120 Periodic oral evaluation - established patient 229 227 $6K