Medicaid Provider Spending

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

DEERHAVEN FAMILY DENTISTRY, P.L.C.

NPI: 1396878039 · TRAVERSE CITY, MI 49684 · General Practice Dentistry · NPI assigned 03/13/2007

$31K
Total Medicaid Paid
1,307
Total Claims
1,305
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialNIERGARTH, STEVEN (OWNER)
NPI Enumeration Date03/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 315 $9K
2019 336 $8K
2020 182 $4K
2021 159 $3K
2022 104 $2K
2023 123 $3K
2024 88 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 736 735 $16K
D1120 Prophylaxis - child 208 208 $7K
D1206 Topical application of fluoride varnish 338 337 $7K
D1110 Prophylaxis - adult 25 25 $973.13