Medicaid Provider Spending

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

KIDD, CRAYTON

NPI: 1407075641 · FARMINGTON HILLS, MI 48336 · General Practice Dentistry · NPI assigned 04/25/2007

$14K
Total Medicaid Paid
304
Total Claims
184
Beneficiaries
8
Codes Billed
2019-09
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $326.00
2021 13 $328.00
2023 12 $280.00
2024 267 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1352 121 13 $8K
D0150 Comprehensive oral evaluation - new or established patient 50 50 $2K
D0210 Intraoral - complete series of radiographic images 16 16 $1K
D1110 Prophylaxis - adult 12 12 $693.00
D1206 Topical application of fluoride varnish 25 25 $670.00
D0120 Periodic oral evaluation - established patient 25 25 $654.00
D0220 Intraoral - periapical first radiographic image 32 30 $535.53
D0230 Intraoral - periapical each additional radiographic image 23 13 $258.75