Medicaid Provider Spending

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

SHORESIDE FAMILY DENTAL, P.L.C.

NPI: 1467474320 · SAINT CLAIR SHORES, MI 48080 · General Practice Dentistry · NPI assigned 07/23/2006

$2K
Total Medicaid Paid
73
Total Claims
73
Beneficiaries
2
Codes Billed
2018-02
First Month
2023-03
Last Month

Provider Details

Authorized OfficialMAROSSY, CHRISTINE (OWNER)
NPI Enumeration Date07/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $588.00
2021 24 $759.00
2022 12 $319.00
2023 13 $240.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 61 61 $1K
D1120 Prophylaxis - child 12 12 $451.00