Medicaid Provider Spending

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

DONOHUE, KELLY

NPI: 1538468699 · CARSON CITY, MI 48811 · Dentist · NPI assigned 03/15/2011

$6K
Total Medicaid Paid
175
Total Claims
167
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 175 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2391 Resin-based composite - one surface, posterior, primary or permanent 21 13 $2K
D1120 Prophylaxis - child 52 52 $2K
D0120 Periodic oral evaluation - established patient 51 51 $1K
D1206 Topical application of fluoride varnish 51 51 $1K