Medicaid Provider Spending

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

HART FAMILY DENTISTRY PLLC

NPI: 1902423239 · HART, MI 49420 · Dentist · NPI assigned 07/02/2020

$34K
Total Medicaid Paid
1,368
Total Claims
1,362
Beneficiaries
6
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGILLISH, GRANT (DENTIST/OWNER)
NPI Enumeration Date07/02/2020

Related Entities

Other providers sharing the same authorized official: GILLISH, GRANT

ProviderCityStateTotal Paid
GRANT K. GILLISH D.D.S., P.L.L.C. WHITEHALL MI $146K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 101 $1K
2021 138 $3K
2022 407 $10K
2023 328 $9K
2024 394 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 371 371 $13K
D1206 Topical application of fluoride varnish 508 508 $11K
D0120 Periodic oral evaluation - established patient 416 415 $10K
D0272 Bitewings - two radiographic images 13 13 $344.50
D0220 Intraoral - periapical first radiographic image 13 13 $237.25
D1999 47 42 $0.00