Medicaid Provider Spending

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

JEAN L FARBOD DDS PLC

NPI: 1538737200 · ISHPEMING, MI 49849 · General Practice Dentistry · NPI assigned 06/17/2021

$7K
Total Medicaid Paid
247
Total Claims
247
Beneficiaries
5
Codes Billed
2021-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialFARBOD, JEAN (PRESIDENT)
NPI Enumeration Date06/17/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 56 $2K
2022 70 $2K
2023 121 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 98 98 $3K
D1120 Prophylaxis - child 52 52 $2K
D1206 Topical application of fluoride varnish 73 73 $2K
D1110 Prophylaxis - adult 12 12 $660.00
D0274 Bitewings - four radiographic images 12 12 $288.00