Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › CANTON › GREAT SMILE FAMILY DENTISTRY,P.C.

GREAT SMILE FAMILY DENTISTRY,P.C.

NPI: 1174922272 · CANTON, MI 48187 · General Practice Dentistry · NPI assigned 08/14/2014

$665.33
Total Medicaid Paid
61
Total Claims
50
Beneficiaries
2
Codes Billed
2021-03
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMUNSHEY, GULAFSHAN (PRESIDENT)
NPI Enumeration Date08/14/2014

Related Entities

Other providers sharing the same authorized official: MUNSHEY, GULAFSHAN

ProviderCityStateTotal Paid
HEALTHY SMILE FAMILY DENTISTRY, P.C. YPSILANTI MI $2.06M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 32 $340.33
2022 29 $325.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 27 25 $400.90
D0230 Intraoral - periapical each additional radiographic image 34 25 $264.43