Medicaid Provider Spending

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

DAVID M SHABLUK DDS, PC

NPI: 1649817594 · COOPERSVILLE, MI 49404 · General Practice Dentistry · NPI assigned 12/10/2019

$31K
Total Medicaid Paid
1,349
Total Claims
1,341
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMULDER, MARSHA (OFFICE MANAGER)
NPI Enumeration Date12/10/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 106 $3K
2021 198 $3K
2022 382 $9K
2023 437 $10K
2024 226 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 584 582 $12K
D1120 Prophylaxis - child 338 335 $11K
D1206 Topical application of fluoride varnish 390 387 $7K
D1110 Prophylaxis - adult 25 25 $920.12
D0274 Bitewings - four radiographic images 12 12 $160.03