Medicaid Provider Spending

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

MILILANI DENTAL INC.

NPI: 1013433341 · MILILANI, HI 96789 · Dental Clinic/Center · NPI assigned 08/18/2017

$9K
Total Medicaid Paid
214
Total Claims
213
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMATIASEVICH, BRADFORD (OWNER/DENTIST)
NPI Enumeration Date08/18/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $378.56
2019 25 $489.84
2020 14 $407.68
2023 138 $6K
2024 24 $993.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 48 48 $3K
D1110 Prophylaxis - adult 63 63 $3K
D0150 Comprehensive oral evaluation - new or established patient 51 51 $2K
D0140 Limited oral evaluation - problem focused 27 26 $786.24
D0274 Bitewings - four radiographic images 12 12 $305.76
D1208 Topical application of fluoride, excluding varnish 13 13 $184.08