Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › BELLEVILLE › FAMILY DENTISTRY & ASSOC. OF BELLEVILLE P.C.

FAMILY DENTISTRY & ASSOC. OF BELLEVILLE P.C.

NPI: 1700282241 · BELLEVILLE, MI 48111 · Dentist · NPI assigned 11/11/2014

$6K
Total Medicaid Paid
230
Total Claims
228
Beneficiaries
4
Codes Billed
2020-06
First Month
2024-07
Last Month

Provider Details

Authorized OfficialWILLIAMS, KENNETH (OWNER)
NPI Enumeration Date11/11/2014

Related Entities

Other providers sharing the same authorized official: WILLIAMS, KENNETH

ProviderCityStateTotal Paid
ALLIANCE HEALTHCARE SYSTEM INC HOLLY SPRINGS MS $2.80M
RESTORATIVE CARE HEALTH CENTER L.L.C. NEW ORLEANS LA $26K
KENNETH L WILLIAMS MD PHD NASHVILLE TN $5K
ALLIANCE HEALTHCARE SYSTEM INC POTTS CAMP MS $2K
KENNETH L WILLIAMS D.D.S. P.A. CHANUTE KS $252.00
PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC BATESVILLE MS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 65 $2K
2021 79 $2K
2022 24 $816.00
2023 12 $262.51
2024 50 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 93 92 $2K
D1120 Prophylaxis - child 49 49 $2K
D1208 Topical application of fluoride, excluding varnish 63 62 $2K
D1206 Topical application of fluoride varnish 25 25 $624.40