Medicaid Provider Spending

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

MCDENTAL CARE, P.L.L.C.

NPI: 1023257961 · SHELBY TWP, MI 48315 · General Practice Dentistry · NPI assigned 02/17/2009

$38K
Total Medicaid Paid
1,304
Total Claims
1,156
Beneficiaries
10
Codes Billed
2021-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDZIURGOT, MICHELLE (OWNER DENTIST)
NPI Enumeration Date02/17/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $211.00
2023 822 $25K
2024 469 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 218 217 $12K
D0220 Intraoral - periapical first radiographic image 481 448 $8K
D0120 Periodic oral evaluation - established patient 190 190 $6K
D1351 Sealant - per tooth 119 13 $4K
D1206 Topical application of fluoride varnish 71 71 $2K
D0140 Limited oral evaluation - problem focused 42 40 $2K
D0230 Intraoral - periapical each additional radiographic image 130 124 $1K
D1120 Prophylaxis - child 27 27 $1K
D0210 Intraoral - complete series of radiographic images 12 12 $1K
D0274 Bitewings - four radiographic images 14 14 $469.40