Medicaid Provider Spending

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

NPI: 1811937329 · CARLETON, MI 48117 · General Practice Dentistry · NPI assigned 06/07/2006

$612.00
Total Medicaid Paid
29
Total Claims
25
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialBORYSIAK, JOSEPH (PRESIDENT)
NPI Enumeration Date06/07/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $612.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 14 12 $360.00
D0120 Periodic oral evaluation - established patient 15 13 $252.00