Medicaid Provider Spending

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

NPI: 1841620655 · FOWLERVILLE, MI 48836 · Dentist · NPI assigned 11/14/2013

$7K
Total Medicaid Paid
279
Total Claims
279
Beneficiaries
3
Codes Billed
2018-04
First Month
2022-07
Last Month

Provider Details

Authorized OfficialPETERSBURG, BRIAN (PRESIDENT)
NPI Enumeration Date11/14/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $3K
2020 40 $1K
2021 80 $2K
2022 66 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 109 109 $3K
D1120 Prophylaxis - child 68 68 $2K
D1206 Topical application of fluoride varnish 102 102 $2K