Medicaid Provider Spending

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

CONVENIENT FAMILY DENTISTRY, P.C.

NPI: 1174675698 · BURTON, MI 48519 · General Practice Dentistry · NPI assigned 01/17/2007

$5K
Total Medicaid Paid
208
Total Claims
204
Beneficiaries
5
Codes Billed
2020-06
First Month
2020-09
Last Month

Provider Details

Authorized OfficialRYKULSKI, MARYANNE (GENERAL MANAGER)
NPI Enumeration Date01/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 208 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 76 76 $2K
D1206 Topical application of fluoride varnish 67 67 $1K
D1120 Prophylaxis - child 33 33 $1K
D0220 Intraoral - periapical first radiographic image 14 14 $221.00
D0230 Intraoral - periapical each additional radiographic image 18 14 $153.00