SPELLER, JADA
NPI: 1376567891
· FARMINGTON HILLS, MI 48336
· Dentist
· NPI assigned 07/27/2006
$2.18M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,039 |
$291K |
| 2019 |
13,451 |
$325K |
| 2020 |
3,723 |
$81K |
| 2021 |
7,793 |
$211K |
| 2022 |
12,405 |
$379K |
| 2023 |
15,888 |
$499K |
| 2024 |
13,384 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16,855 |
16,423 |
$659K |
| D1351 |
Sealant - per tooth |
14,051 |
6,554 |
$655K |
| D0120 |
Periodic oral evaluation - established patient |
16,632 |
16,156 |
$454K |
| D1206 |
Topical application of fluoride varnish |
16,818 |
16,380 |
$413K |
| D1354 |
|
152 |
90 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$464.10 |
| D0602 |
|
4,069 |
4,027 |
$0.00 |
| D0603 |
|
2,605 |
2,589 |
$0.00 |
| D0601 |
|
7,484 |
7,394 |
$0.00 |