Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › FRUITPORT › DONNA L RICK DDS PC

DONNA L RICK DDS PC

NPI: 1427675396 · FRUITPORT, MI 49415 · Dental Clinic/Center · NPI assigned 06/26/2020

$805.70
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2020-08
First Month
2020-10
Last Month

Provider Details

Authorized OfficialRICK, DONNA (PRESIDENT)
NPI Enumeration Date06/26/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 40 $805.70

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 28 28 $588.91
D1208 12 12 $216.79