Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › YALE › YALE MAIN STREET DENTISTRY, PLLC

YALE MAIN STREET DENTISTRY, PLLC

NPI: 1922575901 · YALE, MI 48097 · Dental Clinic/Center · NPI assigned 10/29/2018

$17K
Total Medicaid Paid
542
Total Claims
542
Beneficiaries
6
Codes Billed
2021-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPARROTT, JEREMY (MEMBER)
NPI Enumeration Date10/29/2018

Related Entities

Other providers sharing the same authorized official: PARROTT, JEREMY

ProviderCityStateTotal Paid
FAMILY DENTISTS, PLLC PORT HURON MI $195K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 49 $2K
2022 135 $4K
2023 264 $8K
2024 94 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 217 217 $6K
D1120 Prophylaxis - child 125 125 $5K
D0120 Periodic oral evaluation - established patient 163 163 $5K
D1110 Prophylaxis - adult 12 12 $570.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $564.00
D0274 Bitewings - four radiographic images 13 13 $317.00