Medicaid Provider Spending

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

COMPREHENSIVE DENTISTRY, PLLC

NPI: 1073121745 · YPSILANTI, MI 48197 · Clinic/Center · NPI assigned 07/20/2020

$25K
Total Medicaid Paid
1,015
Total Claims
1,014
Beneficiaries
6
Codes Billed
2020-07
First Month
2021-12
Last Month

Provider Details

Authorized OfficialBULLARD, COLLEEN (OWNER DENTIST)
NPI Enumeration Date07/20/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 303 $8K
2021 712 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 238 238 $8K
D0120 Periodic oral evaluation - established patient 314 314 $7K
D1206 Topical application of fluoride varnish 350 349 $7K
D1110 Prophylaxis - adult 38 38 $2K
D0220 Intraoral - periapical first radiographic image 48 48 $699.87
D0230 Intraoral - periapical each additional radiographic image 27 27 $225.01