Medicaid Provider Spending

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

DENTAL HEALTH PROFESSIONALS

NPI: 1689645053 · CADILLAC, MI 49601 · General Practice Dentistry · NPI assigned 02/01/2006

$76K
Total Medicaid Paid
3,390
Total Claims
3,390
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUEDER, MICHAEL (OWNER)
NPI Enumeration Date02/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 900 $23K
2019 691 $15K
2020 339 $8K
2021 470 $10K
2022 588 $12K
2023 344 $8K
2024 58 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,528 1,528 $30K
D1110 Prophylaxis - adult 443 443 $16K
D1120 Prophylaxis - child 572 572 $16K
D1206 Topical application of fluoride varnish 768 768 $13K
D0274 Bitewings - four radiographic images 54 54 $1K
D0272 Bitewings - two radiographic images 25 25 $414.31