Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › JACKSON › LIFETIME DENTAL CARE PLLC

LIFETIME DENTAL CARE PLLC

NPI: 1225642242 · JACKSON, MI 49203 · Dental Clinic/Center · NPI assigned 09/08/2020

$344.00
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2023-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialCHEN, JAMES (MEMBER)
NPI Enumeration Date09/08/2020

Related Entities

Other providers sharing the same authorized official: CHEN, JAMES

ProviderCityStateTotal Paid
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED WAIANAE HI $93K
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED KAPOLEI HI $53K
JAMES L CHEN MD INC SAN FRANCISCO CA $25K
ADVANCED ORTHOPAEDICS & SPORTS MEDICINE INC SAN FRANCISCO CA $823.64

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 12 $344.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 12 12 $344.00