Medicaid Provider Spending

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

SULLIVAN, ROGER

NPI: 1669600425 · SCHOOLCRAFT, MI 49087 · General Practice Dentistry · NPI assigned 06/30/2009

$5K
Total Medicaid Paid
202
Total Claims
202
Beneficiaries
3
Codes Billed
2019-07
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $320.00
2020 54 $1K
2021 43 $1K
2022 26 $486.00
2023 40 $849.82
2024 27 $666.32

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 97 97 $2K
D1208 Topical application of fluoride, excluding varnish 68 68 $1K
D1120 Prophylaxis - child 37 37 $1K