Medicaid Provider Spending

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

LAPEER FAMILY DENTAL PLLC

NPI: 1457131682 · STERLING HEIGHTS, MI 48314 · General Practice Dentistry · NPI assigned 10/04/2023

$9K
Total Medicaid Paid
358
Total Claims
358
Beneficiaries
5
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKIZY, MAZIN (DDS)
NPI Enumeration Date10/04/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 358 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 153 153 $4K
D1120 Prophylaxis - child 87 87 $3K
D1208 Topical application of fluoride, excluding varnish 94 94 $2K
D1110 Prophylaxis - adult 12 12 $422.10
D1206 Topical application of fluoride varnish 12 12 $360.00