Medicaid Provider Spending

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

NORWAY DENTAL PC

NPI: 1962509117 · NORWAY, MI 49870 · Dentist · NPI assigned 09/20/2006

$94K
Total Medicaid Paid
2,922
Total Claims
2,913
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFORNETTI, KRISTY (PRESIDENT - DENTIST)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 885 $29K
2019 712 $22K
2020 361 $11K
2021 426 $13K
2022 235 $8K
2023 197 $7K
2024 106 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,245 1,244 $32K
D1110 Prophylaxis - adult 617 615 $30K
D1120 Prophylaxis - child 364 364 $14K
D1208 Topical application of fluoride, excluding varnish 568 568 $13K
D0274 Bitewings - four radiographic images 98 98 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 12 $2K
D0272 Bitewings - two radiographic images 12 12 $300.00