Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › TRAVERSE CITY › COUNTY OF GRAND TRAVERSE

COUNTY OF GRAND TRAVERSE

NPI: 1821546854 · TRAVERSE CITY, MI 49686 · Public Health Dentist · NPI assigned 09/20/2016

$686.00
Total Medicaid Paid
28
Total Claims
28
Beneficiaries
2
Codes Billed
2018-08
First Month
2018-08
Last Month

Provider Details

Authorized OfficialCARLSON, ERIN (ACCOUNTANT)
NPI Enumeration Date09/20/2016

Related Entities

Other providers sharing the same authorized official: CARLSON, ERIN

ProviderCityStateTotal Paid
COUNTY OF GRAND TRAVERSE TRAVERSE CITY MI $266K
GRAND TRAVERSE COUNTY HEALTH DEPARTMENT TRAVERSE CITY MI $6K
DRS. NORTH & WATSON, OPTOMETRISTS P. A. ROSEVILLE MN $2K
GRAND TRAVERSE COUNTY HEALTH DEPARTMENT KINGSLEY MI $15.26

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $686.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 14 14 $420.00
D0190 14 14 $266.00