Medicaid Provider Spending

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

HOUGHTON LAKE FAMILY DENTISTRY

NPI: 1023734639 · HOUGHTON LAKE, MI 48629 · General Practice Dentistry · NPI assigned 10/14/2022

$26K
Total Medicaid Paid
1,161
Total Claims
1,055
Beneficiaries
8
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPACELLA, ROBERT (OWNER/DENTIST)
NPI Enumeration Date10/14/2022

Related Entities

Other providers sharing the same authorized official: PACELLA, ROBERT

ProviderCityStateTotal Paid
HOUGHTON LAKE FAMILY DENTISTRY HOUGHTON LAKE MI $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 30 $738.78
2023 307 $8K
2024 824 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 332 332 $8K
D1120 193 193 $7K
D1208 181 181 $4K
D0220 148 148 $2K
D0230 228 122 $2K
D1206 50 50 $1K
D1110 15 15 $737.92
D0274 14 14 $539.00