Medicaid Provider Spending

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

SMILE CENTER PLLC

NPI: 1417373036 · MUSKEGON, MI 49444 · Dentist · NPI assigned 03/06/2014

$2K
Total Medicaid Paid
99
Total Claims
99
Beneficiaries
3
Codes Billed
2020-08
First Month
2022-06
Last Month

Provider Details

Authorized OfficialKUIPERS, ADAM (OWNER)
NPI Enumeration Date03/06/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 37 $760.00
2021 48 $973.00
2022 14 $233.49

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 56 56 $1K
D1120 Prophylaxis - child 15 15 $440.00
D1206 Topical application of fluoride varnish 28 28 $425.00