Medicaid Provider Spending

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

DCM DENTISTRY, PLC

NPI: 1003416140 · FENTON, MI 48430 · General Practice Dentistry · NPI assigned 10/28/2020

$7K
Total Medicaid Paid
226
Total Claims
226
Beneficiaries
6
Codes Billed
2023-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBAIER, LISA (DENTIST)
NPI Enumeration Date10/28/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 67 $1K
2024 159 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 91 91 $2K
D1110 Prophylaxis - adult 26 26 $1K
D0120 Periodic oral evaluation - established patient 52 52 $1K
D0150 Comprehensive oral evaluation - new or established patient 16 16 $793.50
D1120 Prophylaxis - child 16 16 $684.24
D0220 Intraoral - periapical first radiographic image 25 25 $425.10