Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › MARQUETTE › WRIGHT STREET DENTAL, PC

WRIGHT STREET DENTAL, PC

NPI: 1891414322 · MARQUETTE, MI 49855 · Dental Clinic/Center · NPI assigned 08/26/2022

$5K
Total Medicaid Paid
169
Total Claims
169
Beneficiaries
3
Codes Billed
2023-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBALLARD, WILLIAM (PRESIDENT)
NPI Enumeration Date08/26/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $257.55
2024 157 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 106 106 $3K
D1120 Prophylaxis - child 36 36 $2K
D0120 Periodic oral evaluation - established patient 27 27 $816.75