Medicaid Provider Spending

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

HARBOR NORTH DENTAL ASSOCIATES

NPI: 1649845330 · ALPENA, MI 49707 · General Practice Dentistry · NPI assigned 05/25/2021

$73K
Total Medicaid Paid
2,563
Total Claims
2,562
Beneficiaries
5
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKENDIORSKI, BRENT (OWNER)
NPI Enumeration Date05/25/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 193 $5K
2022 752 $19K
2023 936 $27K
2024 682 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 789 788 $30K
D0120 Periodic oral evaluation - established patient 879 879 $22K
D1206 Topical application of fluoride varnish 870 870 $20K
D1110 Prophylaxis - adult 12 12 $421.58
D0272 Bitewings - two radiographic images 13 13 $348.25