Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SAULT SAINTE MARIE › U.P. SUPERIOR SMILES

U.P. SUPERIOR SMILES

NPI: 1659017341 · SAULT SAINTE MARIE, MI 49783 · Dental Hygienist · NPI assigned 05/06/2022

$71K
Total Medicaid Paid
3,003
Total Claims
1,820
Beneficiaries
6
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREGORINI, LYNDA (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/06/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 535 $12K
2023 892 $22K
2024 1,576 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 1,418 287 $38K
D1120 Prophylaxis - child 450 443 $16K
D1206 Topical application of fluoride varnish 447 439 $8K
D0191 291 290 $5K
D0190 353 347 $2K
D1354 44 14 $1K