Medicaid Provider Spending

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

PASCOE DENTAL LLC

NPI: 1043895386 · CLIO, MI 48420 · Dental Clinic/Center · NPI assigned 03/17/2021

$61K
Total Medicaid Paid
2,237
Total Claims
2,231
Beneficiaries
7
Codes Billed
2021-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPASCOE, THOMAS (DENTIST)
NPI Enumeration Date03/17/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 319 $9K
2022 737 $21K
2023 763 $20K
2024 418 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 753 752 $20K
D1208 Topical application of fluoride, excluding varnish 685 684 $16K
D1120 Prophylaxis - child 364 364 $14K
D1110 Prophylaxis - adult 141 141 $7K
D0220 Intraoral - periapical first radiographic image 125 124 $2K
D0274 Bitewings - four radiographic images 52 52 $2K
D0230 Intraoral - periapical each additional radiographic image 117 114 $1K