Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAYLING › DAVEY, MARK

DAVEY, MARK

NPI: 1699986083 · GRAYLING, MI 49738 · Dentist · NPI assigned 05/25/2007

$10K
Total Medicaid Paid
346
Total Claims
346
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $5K
2019 166 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 155 155 $4K
D1120 Prophylaxis - child 80 80 $3K
D1208 Topical application of fluoride, excluding varnish 87 87 $2K
D1110 Prophylaxis - adult 24 24 $1K