Medicaid Provider Spending

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

PATIENT DENTISTRY,P.C.

NPI: 1639295652 · WHITE PIGEON, MI 49099 · Dentist · NPI assigned 03/21/2007

$38K
Total Medicaid Paid
1,505
Total Claims
1,402
Beneficiary Records
6
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGOODMAN, PATRICK (PRESIDENT)
NPI Enumeration Date03/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 668 $18K
2019 375 $9K
2020 308 $8K
2021 154 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 603 603 $15K
D1206 Topical application of fluoride varnish 458 458 $10K
D1120 Prophylaxis - child 185 185 $7K
D0240 207 104 $4K
D1110 Prophylaxis - adult 39 39 $2K
D0274 Bitewings - four radiographic images 13 13 $432.00