Medicaid Provider Spending

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

CASSOPOLIS DENTAL, P.C.

NPI: 1558743690 · CASSOPOLIS, MI 49031 · General Practice Dentistry · NPI assigned 06/25/2015

$35K
Total Medicaid Paid
1,347
Total Claims
1,347
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHAYMAN, JOHN (OWNER DENTIST)
NPI Enumeration Date06/25/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 342 $10K
2019 324 $9K
2020 209 $5K
2021 187 $5K
2022 68 $2K
2023 136 $3K
2024 81 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 440 440 $12K
D1206 Topical application of fluoride varnish 587 587 $12K
D1120 Prophylaxis - child 308 308 $11K
D0272 Bitewings - two radiographic images 12 12 $300.00