Medicaid Provider Spending

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

QUALITY DENTAL SERVICES OF MICHIGAN, PC

NPI: 1386352607 · BURTON, MI 48509 · Dental Clinic/Center · NPI assigned 11/07/2022

$15K
Total Medicaid Paid
621
Total Claims
571
Beneficiaries
6
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKACHLAN, MOHD (CEO)
NPI Enumeration Date11/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 177 $4K
2024 444 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 165 165 $5K
D0120 Periodic oral evaluation - established patient 110 109 $3K
D0220 Intraoral - periapical first radiographic image 170 167 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 18 12 $2K
D0230 Intraoral - periapical each additional radiographic image 131 91 $1K
D1120 Prophylaxis - child 27 27 $1K