Medicaid Provider Spending

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

MOTOWN CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC

NPI: 1275314114 · WESTLAND, MI 48186 · Dentist Anesthesiologist · NPI assigned 10/06/2023

$53K
Total Medicaid Paid
714
Total Claims
432
Beneficiaries
12
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHEELER, JEFF (BUSINESS MANAGER)
NPI Enumeration Date10/06/2023

Related Entities

Other providers sharing the same authorized official: WHEELER, JEFF

ProviderCityStateTotal Paid
MOTOWN CHILDREN'S SURGERY CENTER LLC WESTLAND MI $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 714 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 107 26 $21K
D9420 41 41 $12K
D7140 Extraction, erupted tooth or exposed root 122 25 $12K
D0240 97 49 $2K
D0150 Comprehensive oral evaluation - new or established patient 44 44 $1K
D1206 Topical application of fluoride varnish 48 48 $1K
D1120 Prophylaxis - child 44 44 $1K
D0272 Bitewings - two radiographic images 46 46 $864.74
D0230 Intraoral - periapical each additional radiographic image 85 29 $473.27
D0220 Intraoral - periapical first radiographic image 29 29 $471.78
D0350 26 26 $0.00
D1330 25 25 $0.00