Medicaid Provider Spending

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

MICHIGAN DENTAL ASSOCIATES - LANSING PC

NPI: 1033630975 · LANSING, MI 48910 · General Practice Dentistry · NPI assigned 06/30/2017

$129K
Total Medicaid Paid
3,425
Total Claims
3,046
Beneficiaries
15
Codes Billed
2018-07
First Month
2019-12
Last Month

Provider Details

Authorized OfficialHARP, MARTHA (DIRECTOR OF INSURANCE OPERATIONS)
NPI Enumeration Date06/30/2017

Related Entities

Other providers sharing the same authorized official: HARP, MARTHA

ProviderCityStateTotal Paid
WAVE DENTAL SPECIALISTS DETROIT DEARBORN HEIGHTS MI $3.26M
MICHIGAN DENTAL ASSOCIATES II PC DEARBORN HEIGHTS MI $2.74M
MICHIGAN DENTAL ASSOCIATES - CHARLOTTE PC CHARLOTTE MI $77K
MICHIGAN DENTAL ASSOCIATES - ADRIAN PC ADRIAN MI $67K
MICHIGAN DENTAL ASSOCIATES - HIGHLAND PC HIGHLAND MI $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 536 $18K
2019 2,889 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 248 163 $27K
D1110 Prophylaxis - adult 342 339 $16K
D1120 Prophylaxis - child 321 320 $12K
D0120 Periodic oral evaluation - established patient 425 423 $10K
D0150 Comprehensive oral evaluation - new or established patient 277 275 $10K
D0210 Intraoral - complete series of radiographic images 153 153 $9K
D1206 Topical application of fluoride varnish 373 371 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 56 41 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 76 44 $6K
D0220 Intraoral - periapical first radiographic image 410 402 $6K
D0140 Limited oral evaluation - problem focused 147 143 $5K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 44 13 $5K
D0230 Intraoral - periapical each additional radiographic image 457 263 $4K
D0274 Bitewings - four radiographic images 82 82 $3K
D0272 Bitewings - two radiographic images 14 14 $276.00