Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › CLARKSTON › TIFFANY DANYAL CLARKSTON PLLC

TIFFANY DANYAL CLARKSTON PLLC

NPI: 1780292250 · CLARKSTON, MI 48346 · Dental Clinic/Center · NPI assigned 07/21/2020

$5K
Total Medicaid Paid
204
Total Claims
200
Beneficiaries
5
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDRUMMOND, MEGAN (MANAGEMENT)
NPI Enumeration Date07/21/2020

Related Entities

Other providers sharing the same authorized official: DRUMMOND, MEGAN

ProviderCityStateTotal Paid
TIFFANY DANYAL METAMORA PLLC METAMORA MI $3K
BRUSH RINSE FLOSS MILFORD PLLC MILFORD MI $3K
TK INVESTMENT HARPER WOODS HARPER WOODS MI $1K
FENTON FAMILY DENTAL PLLC FENTON MI $1K
WATERFORD FAMILY DENTAL PLLC WATERFORD MI $792.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $336.00
2022 12 $319.00
2023 141 $3K
2024 39 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 79 79 $2K
D1206 Topical application of fluoride varnish 53 53 $1K
D1120 Prophylaxis - child 28 28 $1K
D0220 Intraoral - periapical first radiographic image 27 26 $402.00
D0230 Intraoral - periapical each additional radiographic image 17 14 $132.00