Medicaid Provider Spending

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

NPI: 1093323404 · METAMORA, MI 48455 · Dental Clinic/Center · NPI assigned 07/22/2020

$3K
Total Medicaid Paid
105
Total Claims
103
Beneficiaries
5
Codes Billed
2023-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialDRUMMOND, MEGAN (MANAGEMENT)
NPI Enumeration Date07/22/2020

Related Entities

Other providers sharing the same authorized official: DRUMMOND, MEGAN

ProviderCityStateTotal Paid
TIFFANY DANYAL CLARKSTON PLLC CLARKSTON MI $5K
BRUSH RINSE FLOSS MILFORD PLLC MILFORD MI $3K
TK INVESTMENT HARPER WOODS HARPER WOODS MI $1K
FENTON FAMILY DENTAL PLLC FENTON MI $1K
WATERFORD FAMILY DENTAL PLLC WATERFORD MI $792.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 38 $636.25
2024 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 25 25 $1K
D0120 Periodic oral evaluation - established patient 39 39 $1K
D1206 Topical application of fluoride varnish 15 15 $450.00
D0220 Intraoral - periapical first radiographic image 12 12 $181.75
D0230 Intraoral - periapical each additional radiographic image 14 12 $124.50