Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› MICHAEL G. CROOKSTON DDS PC
MICHAEL G. CROOKSTON DDS PC
NPI: 1417475716 · SOLDOTNA, AK 99669 ·
Dental Clinic/Center
· NPI assigned 09/07/2017
$4K
Total Medicaid Paid
128
Total Claims
113
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-10
Last Month
Provider Details
Authorized Official
CROOKSTON, MICHAEL
(OWNER/PRESIDENT)
NPI Enumeration Date
09/07/2017
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
17
$342.00
2023
52
$1K
2024
59
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
Topical application of fluoride varnish
85
73
$2K
D0120
Periodic oral evaluation - established patient
29
26
$1K
D1120
Prophylaxis - child
14
14
$909.30