Medicaid Provider Spending

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

WEST BRANCH FAMILY DENTISTRY, PLLC

NPI: 1497133284 · WEST BRANCH, MI 48661 · General Practice Dentistry · NPI assigned 05/12/2015

$2K
Total Medicaid Paid
101
Total Claims
101
Beneficiaries
2
Codes Billed
2020-02
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCHRYSLER, CRIS (OWNER)
NPI Enumeration Date05/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 88 $2K
2021 13 $364.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 59 59 $2K
D1206 Topical application of fluoride varnish 42 42 $975.16