Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAND RAPIDS › DENTAL HEALTH PROFESSIONALS OF MICHIGAN, P.C.

DENTAL HEALTH PROFESSIONALS OF MICHIGAN, P.C.

NPI: 1396405221 · GRAND RAPIDS, MI 49546 · General Practice Dentistry · NPI assigned 12/20/2021

$1K
Total Medicaid Paid
51
Total Claims
51
Beneficiaries
3
Codes Billed
2023-04
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMONTEITH, COURTNEY (CREDENTIALING COORDINATOR)
Parent OrganizationDENTAL HEALTH PROFESSIONALS OF MICHIGAN, P.C.
NPI Enumeration Date12/20/2021

Related Entities

Other providers sharing the same authorized official: MONTEITH, COURTNEY

ProviderCityStateTotal Paid
LIFETIME DENTAL CARE OF MICHIGAN, P.C. WARREN MI $93K
DENTAL PROFESSIONALS OF OREGON, P.C. EUGENE OR $55K
DENTAL PROFESSIONALS OF INDIANA, P.C. INDIANAPOLIS IN $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 25 25 $420.00
D1120 Prophylaxis - child 12 12 $352.00
D1206 Topical application of fluoride varnish 14 14 $280.00