Medicaid Provider Spending

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

DONALD J. BROCKRIEDE, D.D.S., P.C.

NPI: 1598977795 · NORTH BRANCH, MI 48461 · Dental Clinic/Center · NPI assigned 05/03/2007

$24K
Total Medicaid Paid
896
Total Claims
895
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialBROCKRIEDE, DONALD (OFFICER)
NPI Enumeration Date05/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $2K
2019 119 $4K
2020 86 $2K
2021 103 $3K
2022 185 $5K
2023 176 $4K
2024 147 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 425 424 $11K
D1208 Topical application of fluoride, excluding varnish 322 322 $7K
D1120 Prophylaxis - child 136 136 $5K
D1110 Prophylaxis - adult 13 13 $750.75