Medicaid Provider Spending

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

BURTON DENTAL CENTER

NPI: 1316701485 · BURTON, MI 48509 · Dentist · NPI assigned 02/09/2024

$15K
Total Medicaid Paid
517
Total Claims
510
Beneficiaries
9
Codes Billed
2024-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWISNIEWSKI, ZACHARY (DENTIST)
NPI Enumeration Date02/09/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 517 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 76 76 $4K
D0120 Periodic oral evaluation - established patient 103 103 $3K
D1206 Topical application of fluoride varnish 70 70 $2K
D1120 Prophylaxis - child 31 31 $1K
D0220 Intraoral - periapical first radiographic image 88 88 $1K
D0274 Bitewings - four radiographic images 38 38 $923.88
D0150 Comprehensive oral evaluation - new or established patient 16 16 $781.85
D0230 Intraoral - periapical each additional radiographic image 82 75 $733.93
D0330 Panoramic radiographic image 13 13 $717.57