Medicaid Provider Spending

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

JEFFREY J FRITZ

NPI: 1730797655 · GRAND HAVEN, MI 49417 · General Practice Dentistry · NPI assigned 07/16/2020

$25K
Total Medicaid Paid
1,016
Total Claims
1,016
Beneficiaries
4
Codes Billed
2020-07
First Month
2024-09
Last Month

Provider Details

Authorized OfficialJORDAN, KELCEY (OFFICE MANAGER)
NPI Enumeration Date07/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 98 $2K
2021 309 $8K
2022 258 $6K
2023 220 $6K
2024 131 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 496 496 $11K
D1206 Topical application of fluoride varnish 307 307 $6K
D1120 Prophylaxis - child 174 174 $6K
D1110 Prophylaxis - adult 39 39 $1K