Medicaid Provider Spending

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

U.P. SUPERIOR SMILES

NPI: 1659017341 · SAULT SAINTE MARIE, MI 49783 · 124Q00000X

$71K

Total Medicaid Paid

3,003

Total Claims

1,820

Beneficiaries

6

Codes Billed

2022-10

First Month

2024-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	535	$12K
2023	892	$22K
2024	1,576	$37K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1351		1,418	287	$38K
D1120		450	443	$16K
D1206		447	439	$8K
D0191		291	290	$5K
D0190		353	347	$2K
D1354		44	14	$1K