Medicaid Provider Spending

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

STAHL FAMILY DENTISTRY PLLC

NPI: 1962162941 · ALBION, MI 49224 · General Practice Dentistry · NPI assigned 12/18/2021

$10K
Total Medicaid Paid
479
Total Claims
478
Beneficiaries
6
Codes Billed
2022-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSTAHL, SARAH (MEMBER)
NPI Enumeration Date12/18/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 326 $8K
2023 139 $3K
2024 14 $242.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 210 210 $4K
D1120 Prophylaxis - child 76 76 $2K
D1206 Topical application of fluoride varnish 139 138 $2K
D1110 Prophylaxis - adult 30 30 $1K
D0274 Bitewings - four radiographic images 12 12 $385.00
D1208 Topical application of fluoride, excluding varnish 12 12 $156.00