Medicaid Provider Spending

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

KNOLLWOOD DENTAL CARE

NPI: 1477649317 · STERLING HEIGHTS, MI 48312 · General Practice Dentistry · NPI assigned 10/05/2006

$34K
Total Medicaid Paid
1,330
Total Claims
1,326
Beneficiaries
8
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKRAUS, LAWRENCE (OWNER)
NPI Enumeration Date10/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 114 $4K
2019 399 $10K
2020 127 $3K
2021 125 $3K
2022 194 $5K
2023 176 $5K
2024 195 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 494 494 $12K
D1206 Topical application of fluoride varnish 511 511 $12K
D1120 Prophylaxis - child 233 233 $8K
D0150 Comprehensive oral evaluation - new or established patient 24 24 $897.27
D1110 Prophylaxis - adult 13 13 $672.00
D0220 Intraoral - periapical first radiographic image 12 12 $170.00
D0230 Intraoral - periapical each additional radiographic image 12 12 $90.00
D1999 31 27 $0.00