SUPREME DENTAL CARE, PLC
NPI: 1144641572
· DEARBORN HEIGHTS, MI 48127
· 122300000X
$577K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,835 |
$100K |
| 2019 |
2,148 |
$108K |
| 2020 |
1,123 |
$35K |
| 2021 |
1,285 |
$39K |
| 2022 |
2,111 |
$76K |
| 2023 |
2,568 |
$107K |
| 2024 |
3,278 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,042 |
578 |
$132K |
| D1120 |
|
2,283 |
2,283 |
$93K |
| D0120 |
|
3,305 |
3,305 |
$92K |
| D1110 |
|
1,461 |
1,461 |
$77K |
| D1208 |
|
2,858 |
2,858 |
$70K |
| D0274 |
|
1,123 |
1,123 |
$35K |
| D2391 |
|
262 |
176 |
$25K |
| D0220 |
|
654 |
637 |
$11K |
| D0140 |
|
248 |
238 |
$10K |
| D0330 |
|
128 |
128 |
$8K |
| D0150 |
|
150 |
150 |
$7K |
| D0272 |
|
267 |
267 |
$7K |
| D2393 |
|
33 |
27 |
$5K |
| D0230 |
|
420 |
298 |
$4K |
| D1351 |
|
114 |
40 |
$3K |