Medicaid Provider Spending

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

MCCOY FAMILY DENTISTRY

NPI: 1710417969 · GRAND RAPIDS, MI 49508 · Dentist · NPI assigned 06/19/2017

$33K
Total Medicaid Paid
1,347
Total Claims
1,346
Beneficiaries
4
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCCOY, STEVEN (CO OWNER)
NPI Enumeration Date06/19/2017

Related Entities

Other providers sharing the same authorized official: MCCOY, STEVEN

ProviderCityStateTotal Paid
FRIENDSHIP HLH&A INC. ROYERSFORD PA $475K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 187 $4K
2021 364 $9K
2022 348 $8K
2023 286 $7K
2024 162 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 367 367 $12K
D1208 Topical application of fluoride, excluding varnish 542 542 $11K
D0120 Periodic oral evaluation - established patient 413 412 $9K
D1110 Prophylaxis - adult 25 25 $1K