Medicaid Provider Spending

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

NORTHERN FAMILY DENTISTRY

NPI: 1912635400 · ROSCOMMON, MI 48653 · Dental Clinic/Center · NPI assigned 08/11/2022

$2K
Total Medicaid Paid
74
Total Claims
74
Beneficiary Records
3
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, KARRIE (OWNER/DENTIST)
NPI Enumeration Date08/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 25 $570.02
2024 49 $1K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1206 Topical application of fluoride varnish 50 50 $1K
D1120 Prophylaxis - child 12 12 $346.00
D0120 Periodic oral evaluation - established patient 12 12 $247.44