Medicaid Provider Spending

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

MORTIMER FAMILY DENTISTRY, PC

NPI: 1417121732 · BURTON, MI 48519 · General Practice Dentistry · NPI assigned 04/17/2008

$24K
Total Medicaid Paid
801
Total Claims
801
Beneficiaries
3
Codes Billed
2018-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORTIMER, SCOTT (PRESIDENT)
NPI Enumeration Date04/17/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $983.00
2020 37 $1K
2021 109 $3K
2022 82 $2K
2023 349 $11K
2024 187 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 313 313 $9K
D1120 Prophylaxis - child 193 193 $8K
D1206 Topical application of fluoride varnish 295 295 $8K