Medicaid Provider Spending

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

DOWAGIAC FAMILY DENTISTRY, PC

NPI: 1811414931 · DOWAGIAC, MI 49047 · Dental Clinic/Center · NPI assigned 08/29/2017

$85K
Total Medicaid Paid
3,138
Total Claims
3,062
Beneficiaries
7
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLESBY, JONATHAN (PRESIDENT)
NPI Enumeration Date08/29/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 211 $6K
2021 662 $17K
2022 692 $18K
2023 706 $20K
2024 867 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 809 805 $28K
D0120 Periodic oral evaluation - established patient 1,018 1,013 $25K
D1206 Topical application of fluoride varnish 1,129 1,123 $24K
D1110 Prophylaxis - adult 85 85 $4K
D1351 Sealant - per tooth 69 12 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 16 12 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $480.00