Medicaid Provider Spending

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

IONIA DENTAL, PLLC

NPI: 1518470558 · IONIA, MI 48846 · General Practice Dentistry · NPI assigned 11/13/2017

$29K
Total Medicaid Paid
1,210
Total Claims
1,184
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-03
Last Month

Provider Details

Authorized OfficialDOERING, KELLY (OWNER DENTIST)
NPI Enumeration Date11/13/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 78 $2K
2019 119 $3K
2020 141 $3K
2021 291 $7K
2022 316 $7K
2023 253 $6K
2024 12 $302.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 528 528 $13K
D1206 Topical application of fluoride varnish 340 340 $7K
D1120 Prophylaxis - child 192 192 $6K
D1110 Prophylaxis - adult 42 42 $2K
D0220 Intraoral - periapical first radiographic image 42 42 $507.74
D0274 Bitewings - four radiographic images 14 14 $396.00
D0230 Intraoral - periapical each additional radiographic image 52 26 $324.00