Medicaid Provider Spending

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

ARYA DENTAL CARE PLLC

NPI: 1043864119 · GARDEN CITY, MI 48135 · Dental Clinic/Center · NPI assigned 07/27/2019

$20K
Total Medicaid Paid
660
Total Claims
604
Beneficiaries
7
Codes Billed
2020-07
First Month
2022-04
Last Month

Provider Details

Authorized OfficialTANDEL, SHAMMI (PRESIDENT)
NPI Enumeration Date07/27/2019

Related Entities

Other providers sharing the same authorized official: TANDEL, SHAMMI

ProviderCityStateTotal Paid
INTRINSIC DENTAL CARE PLC HUNTINGTON WOODS MI $167K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 330 $11K
2021 290 $8K
2022 40 $569.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 171 167 $5K
D0210 Intraoral - complete series of radiographic images 110 107 $5K
D1110 Prophylaxis - adult 106 103 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 41 13 $3K
D0120 Periodic oral evaluation - established patient 65 64 $1K
D0140 Limited oral evaluation - problem focused 51 45 $1K
D0220 Intraoral - periapical first radiographic image 116 105 $1K