Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GAYLORD › SHEPPARD DENTAL HEALTH AND ASSOCIATES

SHEPPARD DENTAL HEALTH AND ASSOCIATES

NPI: 1760046254 · GAYLORD, MI 49735 · Dental Clinic/Center · NPI assigned 04/30/2019

$62K
Total Medicaid Paid
2,199
Total Claims
2,025
Beneficiaries
7
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHEPPARD, REBEKAH (DENTIST)
NPI Enumeration Date04/30/2019

Related Entities

Other providers sharing the same authorized official: SHEPPARD, REBEKAH

ProviderCityStateTotal Paid
SHEPPARD DENTAL GROUP LLC LEWISTON MI $390.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 83 $3K
2020 191 $4K
2021 460 $12K
2022 419 $12K
2023 600 $18K
2024 446 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 578 578 $21K
D1206 Topical application of fluoride varnish 719 719 $16K
D0120 Periodic oral evaluation - established patient 558 557 $13K
D1351 Sealant - per tooth 202 29 $6K
D1110 Prophylaxis - adult 90 90 $4K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $1K
D0272 Bitewings - two radiographic images 24 24 $478.76