Medicaid Provider Spending

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

CHARLEVOIX FAMILY DENTISTRY PLC

NPI: 1417066077 · CHARLEVOIX, MI 49720 · General Practice Dentistry · NPI assigned 08/29/2006

$4K
Total Medicaid Paid
145
Total Claims
144
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPARAMO, GLENN (OWNER DENTIST)
NPI Enumeration Date08/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $1K
2021 15 $252.00
2023 24 $648.88
2024 45 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 72 72 $2K
D1120 Prophylaxis - child 30 30 $1K
D1206 Topical application of fluoride varnish 43 42 $904.46