ACME DENTAL HEALTH CARE PLLC
NPI: 1053862532
· WILLIAMSBURG, MI 49690
· Dentist
· NPI assigned 10/19/2016
$169K
Total Medicaid Paid
Provider Details
| Authorized Official | SPILLANE, DENNIS (OWNER) |
| Parent Organization | DENTAL HEALTH CARE PC |
| NPI Enumeration Date | 10/19/2016 |
Related Entities
Other providers sharing the same authorized official: SPILLANE, DENNIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$378.00 |
| 2019 |
186 |
$7K |
| 2020 |
57 |
$2K |
| 2021 |
527 |
$18K |
| 2022 |
548 |
$20K |
| 2023 |
997 |
$48K |
| 2024 |
1,162 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
898 |
897 |
$44K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
197 |
119 |
$25K |
| D2750 |
|
38 |
26 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
897 |
896 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
401 |
394 |
$16K |
| D0274 |
Bitewings - four radiographic images |
423 |
422 |
$13K |
| D0330 |
Panoramic radiographic image |
119 |
119 |
$8K |
| D1120 |
Prophylaxis - child |
131 |
131 |
$6K |
| D1206 |
Topical application of fluoride varnish |
160 |
160 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
67 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
143 |
136 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
14 |
$389.60 |