Medicaid Provider Spending

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

HANOVER FAMILY DENTISTRY

NPI: 1528203973 · HANOVER, MI 49241 · General Practice Dentistry · NPI assigned 12/12/2008

$42K
Total Medicaid Paid
1,538
Total Claims
1,482
Beneficiary Records
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBARTMAN, JAMIE (OWNER)
NPI Enumeration Date12/12/2008

Related Entities

Other providers sharing the same authorized official: BARTMAN, JAMIE

ProviderCityStateTotal Paid
THREE RIVERS JM DENTAL PC THREE RIVERS MI $26K
COLDWATER JM DENTAL PC COLDWATER MI $625.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 438 $13K
2019 451 $12K
2020 40 $750.75
2021 228 $6K
2022 203 $5K
2023 122 $4K
2024 56 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1208 Topical application of fluoride, excluding varnish 683 653 $14K
D1120 Prophylaxis - child 372 361 $14K
D0120 Periodic oral evaluation - established patient 320 315 $8K
D1110 Prophylaxis - adult 124 114 $6K
D0272 Bitewings - two radiographic images 39 39 $936.00