Medicaid Provider Spending

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

STOBERT DENTAL PC

NPI: 1831249135 · KALKASKA, MI 49646 · General Practice Dentistry · NPI assigned 01/11/2007

$21K
Total Medicaid Paid
728
Total Claims
728
Beneficiaries
4
Codes Billed
2018-06
First Month
2024-04
Last Month

Provider Details

Authorized OfficialSTOBERT, CARRILYN (DENTIST)
NPI Enumeration Date01/11/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $1K
2020 69 $2K
2021 72 $2K
2022 234 $7K
2023 224 $6K
2024 90 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 348 348 $9K
D1206 Topical application of fluoride varnish 241 241 $6K
D1120 Prophylaxis - child 115 115 $5K
D1110 Prophylaxis - adult 24 24 $1K