Medicaid Provider Spending

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

BLUE WATER FAMILY DENTISTRY PC

NPI: 1396756615 · FORT GRATIOT, MI 48059 · Dentist · NPI assigned 08/11/2006

$51K
Total Medicaid Paid
1,883
Total Claims
1,877
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMEYER, WILLIAM (DENTIST)
NPI Enumeration Date08/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 308 $9K
2019 340 $9K
2020 393 $10K
2021 219 $6K
2022 228 $6K
2023 299 $8K
2024 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 774 774 $20K
D1206 Topical application of fluoride varnish 628 628 $14K
D1120 Prophylaxis - child 335 335 $13K
D1110 Prophylaxis - adult 48 48 $2K
D0274 Bitewings - four radiographic images 37 37 $1K
D1999 61 55 $0.00