Medicaid Provider Spending

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

SMILE FRESH TROY, P.C.

NPI: 1346015336 · TROY, MI 48083 · General Practice Dentistry · NPI assigned 11/20/2023

$5K
Total Medicaid Paid
216
Total Claims
170
Beneficiaries
4
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAZIUDDIN, FAUZI (MANAGER)
NPI Enumeration Date11/20/2023

Related Entities

Other providers sharing the same authorized official: RAZIUDDIN, FAUZI

ProviderCityStateTotal Paid
SMILE FRESH PC GRAND BLANC MI $564K
SMILE FRESH AH PC AUBURN HILLS MI $66K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 216 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 42 42 $2K
D0274 Bitewings - four radiographic images 28 28 $1K
D0220 Intraoral - periapical first radiographic image 57 57 $1K
D0230 Intraoral - periapical each additional radiographic image 89 43 $891.45