Medicaid Provider Spending

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

NORTH OAKLAND DENTAL CENTER

NPI: 1306032511 · PONTIAC, MI 48341 · General Practice Dentistry · NPI assigned 09/20/2007

$4K
Total Medicaid Paid
363
Total Claims
271
Beneficiaries
5
Codes Billed
2018-03
First Month
2018-08
Last Month

Provider Details

Authorized OfficialMCDONALD, RICHARD (OWNER)
NPI Enumeration Date09/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 363 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 79 59 $1K
D0220 Intraoral - periapical first radiographic image 126 105 $1K
D0230 Intraoral - periapical each additional radiographic image 116 67 $745.20
D0274 Bitewings - four radiographic images 29 28 $686.24
D0150 Comprehensive oral evaluation - new or established patient 13 12 $266.01