Medicaid Provider Spending

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

SULLIVAN, DENNIS

NPI: 1932204542 · GRAND LEDGE, MI 48837 · General Practice Dentistry · NPI assigned 09/14/2006

$2K
Total Medicaid Paid
94
Total Claims
94
Beneficiaries
3
Codes Billed
2018-09
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $308.00
2019 53 $941.35
2020 28 $392.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 67 67 $1K
D1120 Prophylaxis - child 15 15 $336.71
D1208 Topical application of fluoride, excluding varnish 12 12 $178.03