Medicaid Provider Spending

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

NPI: 1831564202 · SPARTA, MI 49345 · General Practice Dentistry · NPI assigned 12/09/2015

$10K
Total Medicaid Paid
339
Total Claims
339
Beneficiaries
3
Codes Billed
2018-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialFLORES, MICHAEL (MANAGER)
NPI Enumeration Date12/09/2015

Related Entities

Other providers sharing the same authorized official: FLORES, MICHAEL

ProviderCityStateTotal Paid
BRIGHTER POSSIBILITIES FAMILY COUNSELING FORT WORTH TX $130K
PROFESSIONAL PSYCHIATRIC ASSOCIATES OF RGV, PLLC DONNA TX $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88 $3K
2019 76 $2K
2020 44 $1K
2021 91 $3K
2022 40 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 244 244 $7K
D1120 Prophylaxis - child 83 83 $3K
D1206 Topical application of fluoride varnish 12 12 $275.00