Medicaid Provider Spending

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

CRESTWOOD DENTAL ON THE LAKE, PLC

NPI: 1306506100 · LEONARD, MI 48367 · Dental Clinic/Center · NPI assigned 12/21/2021

$464.45
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialABDELMESSIH, JOHN (OWNER)
NPI Enumeration Date12/21/2021

Related Entities

Other providers sharing the same authorized official: ABDELMESSIH, JOHN

ProviderCityStateTotal Paid
JOHN J. ABDELMESSIH DDSS PC CLARKSTON MI $1.21M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 15 $464.45

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 15 15 $464.45