Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › DUNDEE › SPECIALTY DENTAL PARTNERS OF MICHIGAN PC

SPECIALTY DENTAL PARTNERS OF MICHIGAN PC

NPI: 1184024564 · DUNDEE, MI 48131 · Pediatric Dentist · NPI assigned 09/04/2014

$62K
Total Medicaid Paid
1,761
Total Claims
1,761
Beneficiaries
6
Codes Billed
2018-04
First Month
2018-12
Last Month

Provider Details

Authorized OfficialSCHWARTZ, STUART (CEO)
NPI Enumeration Date09/04/2014

Related Entities

Other providers sharing the same authorized official: SCHWARTZ, STUART

ProviderCityStateTotal Paid
SPECIALTY DENTAL PARTNERS OF TENNESSEE PC DUNDEE MI $86K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,761 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 510 510 $22K
D0120 Periodic oral evaluation - established patient 455 455 $16K
D1206 Topical application of fluoride varnish 539 539 $16K
D0272 Bitewings - two radiographic images 215 215 $6K
D0150 Comprehensive oral evaluation - new or established patient 18 18 $1K
D0220 Intraoral - periapical first radiographic image 24 24 $480.00