Medicaid Provider Spending

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

LEONARD J BARTOSZEWICZ, DDS

NPI: 1669087433 · GRAND RAPIDS, MI 49506 · Dental Clinic/Center · NPI assigned 09/09/2020

$10K
Total Medicaid Paid
369
Total Claims
369
Beneficiaries
5
Codes Billed
2020-08
First Month
2021-05
Last Month

Provider Details

Authorized OfficialANDERSON, AMY (OFFICE MANAGER)
NPI Enumeration Date09/09/2020

Related Entities

Other providers sharing the same authorized official: ANDERSON, AMY

ProviderCityStateTotal Paid
OAKWOOD CLINICAL ASSOCIATES, LTD KENOSHA WI $583K
BABY STEPS WV SCOTT DEPOT WV $577K
BEAUMONT NEPHROLOGY ASSOCIATES BEAUMONT TX $102K
ANDERSON-ROBERTSON DMD PC MONTGOMERY AL $735.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 184 $5K
2021 185 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 105 105 $4K
D0120 Periodic oral evaluation - established patient 131 131 $3K
D1208 Topical application of fluoride, excluding varnish 100 100 $2K
D1206 Topical application of fluoride varnish 19 19 $375.00
D0272 Bitewings - two radiographic images 14 14 $319.44