Medicaid Provider Spending

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

DENTAL CENTER OF PLYMOUTH LLC

NPI: 1336516517 · PLYMOUTH, IN 46563 · Dentist · NPI assigned 08/24/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$3.05M
Total Medicaid Paid
98,794
Total Claims
83,231
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
NPI Enumeration Date08/24/2015

Related Entities

Other providers sharing the same authorized official: COLE, MIKE

ProviderCityStateTotal Paid
GENTLE DENTAL GRATIOT AVE PLLC DETROIT MI $4.52M
PDOM ELKTON ELKTON MD $4.44M
PDOM HAVRE DE GRACE HAVRE DE GRACE MD $4.29M
DENTAL CENTER OF GOSHEN PLLC GOSHEN IN $3.23M
GENTLE DENTAL GRAND RIVER PLLC DETROIT MI $2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC GLEN BURNIE MD $1.99M
GENTLE DENTAL WESTLAND PLLC WESTLAND MI $1.60M
KONIKOFF DENTAL ASSOCIATES, INC. VIRGINIA BEACH VA $1.34M
DENTAL CARE ALLIANCE LLC SARASOTA FL $838K
GENTLE DENTAL SHORES PLLC SAINT CLAIR SHORES MI $754K
FAMILY DENTAL GROUP ASSOCIATES PLLC FLINT MI $703K
GENTLE DENTAL WARREN PLLC WARREN MI $559K
GENTLE DENTAL BAY PLLC NEW BALTIMORE MI $305K
GENTLE DENTAL THORNDALE LLC THORNDALE PA $237K
GENTLE DENTAL SHELBY PLLC SHELBY TOWNSHIP MI $150K
WESTLAND- WAYNE P.C. WESTLAND MI $70K
DETROIT - GRATIOT P.C. DETROIT MI $24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC WESTMINSTER MD $7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC WOODBRIDGE VA $3K
GERMANTOWN DENTAL ASSOCIATES PHILADELPHIA PA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,585 $27K
2019 11,952 $374K
2020 8,233 $253K
2021 16,999 $604K
2022 16,824 $544K
2023 17,523 $559K
2024 16,678 $686K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 2,665 1,595 $398K
D1120 Prophylaxis - child 11,804 11,281 $358K
D1206 Topical application of fluoride varnish 16,391 15,666 $319K
D0120 Periodic oral evaluation - established patient 14,172 13,564 $289K
D1351 Sealant - per tooth 10,875 2,362 $262K
D0272 Bitewings - two radiographic images 12,896 12,322 $261K
D1110 Prophylaxis - adult 5,208 4,979 $225K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 7,205 6,551 $196K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,532 1,872 $145K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,939 2,165 $143K
D0210 Intraoral - complete series of radiographic images 3,165 2,943 $124K
D0150 Comprehensive oral evaluation - new or established patient 3,172 3,006 $98K
D7140 Extraction, erupted tooth or exposed root 1,028 688 $80K
D0330 Panoramic radiographic image 1,961 1,793 $54K
D0140 Limited oral evaluation - problem focused 1,374 1,286 $46K
D2931 156 133 $29K
D1354 106 25 $8K
D0240 566 504 $8K
D0220 Intraoral - periapical first radiographic image 366 324 $3K
D1208 Topical application of fluoride, excluding varnish 47 38 $738.87
D0230 Intraoral - periapical each additional radiographic image 22 13 $180.00
D1999 73 70 $0.00
D3120 71 51 $0.00