Medicaid Provider Spending

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

WATERFORD DENTIST PLLC

NPI: 1538251939 · WATERFORD, MI 48329 · General Practice Dentistry · NPI assigned 09/29/2006

$4K
Total Medicaid Paid
200
Total Claims
168
Beneficiaries
5
Codes Billed
2018-08
First Month
2022-06
Last Month

Provider Details

Authorized OfficialHEUERMAN, KURT (MEMBER)
Parent OrganizationHEUERMAN SHUMAKER PLLC
NPI Enumeration Date09/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $1K
2019 26 $689.00
2020 12 $317.46
2021 73 $1K
2022 13 $319.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 66 66 $2K
D1120 Prophylaxis - child 27 27 $964.83
D1208 Topical application of fluoride, excluding varnish 27 27 $675.00
D0230 Intraoral - periapical each additional radiographic image 56 24 $495.00
D0220 Intraoral - periapical first radiographic image 24 24 $383.00