Medicaid Provider Spending

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

JACKSON SNIDER PARKER DENTISTRY, PLLC

NPI: 1427124288 · TRENTON, MI 48183 · General Practice Dentistry · NPI assigned 11/24/2006

$43K
Total Medicaid Paid
1,772
Total Claims
1,772
Beneficiaries
5
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJACKSON, NOEL (SENIOR PARTNER)
NPI Enumeration Date11/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 56 $2K
2020 141 $3K
2021 309 $7K
2022 392 $9K
2023 514 $12K
2024 360 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 456 456 $15K
D0120 Periodic oral evaluation - established patient 618 618 $14K
D1208 Topical application of fluoride, excluding varnish 664 664 $13K
D1110 Prophylaxis - adult 17 17 $684.00
D0272 Bitewings - two radiographic images 17 17 $234.00