Medicaid Provider Spending

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

HARBOR NORTH DENTAL ASSOCIATES

NPI: 1700073574 · ALPENA, MI 49707 · General Practice Dentistry · NPI assigned 09/26/2007

$23K
Total Medicaid Paid
868
Total Claims
867
Beneficiaries
5
Codes Billed
2018-05
First Month
2021-06
Last Month

Provider Details

Authorized OfficialWOLF, JAMES (OWNER-DDS)
NPI Enumeration Date09/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $2K
2019 171 $5K
2020 316 $8K
2021 301 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 396 395 $9K
D1120 Prophylaxis - child 211 211 $8K
D1206 Topical application of fluoride varnish 212 212 $4K
D1110 Prophylaxis - adult 37 37 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $516.00