Medicaid Provider Spending

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

DOMAN DENTAL CARE

NPI: 1710622774 · LAPEER, MI 48446 · Dental Clinic/Center · NPI assigned 05/03/2022

$3K
Total Medicaid Paid
117
Total Claims
117
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDOMAN, DANIELLE (OWNER/DOCTOR)
NPI Enumeration Date05/03/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $829.00
2023 79 $2K
2024 13 $188.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 54 54 $1K
D0120 Periodic oral evaluation - established patient 39 39 $1K
D1120 Prophylaxis - child 24 24 $988.00