Medicaid Provider Spending

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

MARK W. DAVEY, DDS, PC

NPI: 1700054533 · GRAYLING, MI 49738 · Dental Clinic/Center · NPI assigned 02/14/2008

$29K
Total Medicaid Paid
1,153
Total Claims
1,153
Beneficiaries
6
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAVEY, MARK (PRESIDENT)
NPI Enumeration Date02/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 94 $3K
2021 214 $5K
2022 288 $7K
2023 418 $11K
2024 139 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 466 466 $11K
D1120 Prophylaxis - child 275 275 $9K
D1206 Topical application of fluoride varnish 243 243 $6K
D1208 Topical application of fluoride, excluding varnish 104 104 $2K
D0220 Intraoral - periapical first radiographic image 52 52 $669.36
D0274 Bitewings - four radiographic images 13 13 $360.00