Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CARSON CITY
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DONOHUE, TIMOTHY
NPI: 1720147051 · CARSON CITY, MI 48811 ·
Dentist
· NPI assigned 12/06/2006
$1K
Total Medicaid Paid
51
Total Claims
51
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-02
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
51
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
22
22
$588.00
D1120
Prophylaxis - child
15
15
$560.00
D1206
Topical application of fluoride varnish
14
14
$325.00