Medicaid Provider Spending

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

NPI: 1518311786 · GRAND HAVEN, MI 49417 · General Practice Dentistry · NPI assigned 04/14/2016

$22K
Total Medicaid Paid
944
Total Claims
941
Beneficiaries
5
Codes Billed
2018-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialROGERS, LAURA (DIRECTOR OF FINANCE)
NPI Enumeration Date04/14/2016

Related Entities

Other providers sharing the same authorized official: ROGERS, LAURA

ProviderCityStateTotal Paid
PHYSICIAN UTILITIES, INC NEW IBERIA LA $1.04M
MI SMILES DENTAL IONIA PLC IONIA MI $141K
MI SMILES DENTAL COMSTOCK PARK PLC COMSTOCK PARK MI $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $1K
2019 51 $957.06
2020 40 $247.71
2021 232 $6K
2022 267 $7K
2023 221 $5K
2024 92 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 420 419 $8K
D0120 Periodic oral evaluation - established patient 337 337 $8K
D1120 Prophylaxis - child 160 160 $6K
D1110 Prophylaxis - adult 12 12 $550.00
D1999 15 13 $0.00