Medicaid Provider Spending

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

ELITE SMILE

NPI: 1215476387 · WESTLAND, MI 48185 · 122300000X

$21K

Total Medicaid Paid

1,657

Total Claims

1,143

Beneficiaries

11

Codes Billed

2018-01

First Month

2018-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,657	$21K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		173	172	$4K
D0150		245	243	$4K
D2392		74	42	$3K
D2391		101	50	$2K
D0230		571	184	$2K
D0140		95	88	$2K
D2393		22	14	$1K
D0220		260	237	$1K
D0272		87	87	$966.35
D0210		14	13	$394.47
D4355		15	13	$43.26