Medicaid Provider Spending

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

S. RANGRASS DDS PC

NPI: 1639814684 · KALAMAZOO, MI 49004 · Clinic/Center · NPI assigned 05/04/2022

$10K
Total Medicaid Paid
326
Total Claims
326
Beneficiaries
3
Codes Billed
2022-10
First Month
2024-01
Last Month

Provider Details

Authorized OfficialSECORD, KELLY (OFFICE MANAGER)
NPI Enumeration Date05/04/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 90 $3K
2023 182 $5K
2024 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 84 84 $3K
D0120 Periodic oral evaluation - established patient 121 121 $3K
D1206 Topical application of fluoride varnish 121 121 $3K