Medicaid Provider Spending

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

COOPERSVILLE DENTAL ASSOCIATES INC

NPI: 1861134595 · COOPERSVILLE, MI 49404 · General Practice Dentistry · NPI assigned 04/12/2022

$3K
Total Medicaid Paid
131
Total Claims
131
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-04
Last Month

Provider Details

Authorized OfficialLAFLEUR, ALBERT (DOCTOR /OWNER)
NPI Enumeration Date04/12/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 25 $638.00
2023 65 $2K
2024 41 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 79 79 $2K
D1120 Prophylaxis - child 26 26 $986.81
D1208 Topical application of fluoride, excluding varnish 26 26 $526.83