Medicaid Provider Spending

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

EASTLAND FAMILY DENTISTRY

NPI: 1285880872 · DETROIT, MI 48205 · General Practice Dentistry · NPI assigned 08/14/2008

$71K
Total Medicaid Paid
2,050
Total Claims
2,031
Beneficiaries
8
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKEYORKGY, FADI (CEO)
NPI Enumeration Date08/14/2008

Related Entities

Other providers sharing the same authorized official: KEYORKGY, FADI

ProviderCityStateTotal Paid
EASTSIDE FAMILY DENTISTRY SHELBY TOWNSHIP MI $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 487 $15K
2022 606 $20K
2023 540 $21K
2024 417 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 642 642 $16K
D1110 Prophylaxis - adult 256 256 $13K
D0120 Periodic oral evaluation - established patient 468 468 $13K
D1120 Prophylaxis - child 248 248 $10K
D0274 Bitewings - four radiographic images 236 235 $7K
D0150 Comprehensive oral evaluation - new or established patient 101 101 $5K
D0180 69 69 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 30 12 $3K