Medicaid Provider Spending

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

ST CLAIR COUNTY HEALTH DEPARTMENT

NPI: 1700072329 · PORT HURON, MI 48060 · Dental Clinic/Center · NPI assigned 09/18/2007

$16K
Total Medicaid Paid
808
Total Claims
806
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialPARSONS, JON (DIRECTOR, HEALTH OFFICER)
NPI Enumeration Date09/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 318 $6K
2019 490 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 403 402 $10K
D0190 405 404 $6K