Medicaid Provider Spending

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

MICHIGAN FAMILY AND COSMETIC DENTISTRY

NPI: 1336845411 · TROY, MI 48085 · Dental Clinic/Center · NPI assigned 02/01/2023

$17K
Total Medicaid Paid
275
Total Claims
241
Beneficiaries
6
Codes Billed
2023-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKATYNSKI, KYLE (DENTIST/OWNER)
NPI Enumeration Date02/01/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 128 $9K
2024 147 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 56 24 $6K
D0150 Comprehensive oral evaluation - new or established patient 80 80 $4K
D0210 Intraoral - complete series of radiographic images 56 56 $4K
D1110 Prophylaxis - adult 56 56 $3K
D0120 Periodic oral evaluation - established patient 12 12 $353.31
D0220 Intraoral - periapical first radiographic image 15 13 $231.10