Medicaid Provider Spending

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

GREENVILLE FAMILY DENTISTRY

NPI: 1871924290 · GREENVILLE, MI 48838 · Dentist · NPI assigned 12/11/2013

$66K
Total Medicaid Paid
2,656
Total Claims
2,641
Beneficiaries
7
Codes Billed
2018-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMAHAR, SARAH (OWNER)
NPI Enumeration Date12/11/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 454 $11K
2019 362 $10K
2020 350 $9K
2021 480 $12K
2022 485 $12K
2023 389 $9K
2024 136 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,011 1,009 $24K
D1120 Prophylaxis - child 592 590 $21K
D1206 Topical application of fluoride varnish 983 981 $19K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 22 13 $2K
D1110 Prophylaxis - adult 16 16 $513.00
D0272 Bitewings - two radiographic images 17 17 $275.00
D0274 Bitewings - four radiographic images 15 15 $172.00