Medicaid Provider Spending

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

BURTON ADVANCE DENTAL, P.C.

NPI: 1386973931 · BURTON, MI 48509 · General Practice Dentistry · NPI assigned 12/10/2009

$35K
Total Medicaid Paid
1,465
Total Claims
1,440
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialNIVISON, THOMAS (PRESIDENT)
NPI Enumeration Date12/10/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,465 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 370 370 $14K
D0274 Bitewings - four radiographic images 199 199 $5K
D0140 Limited oral evaluation - problem focused 169 165 $4K
D0120 Periodic oral evaluation - established patient 131 131 $4K
D0220 Intraoral - periapical first radiographic image 311 303 $3K
D1120 Prophylaxis - child 58 58 $2K
D1206 Topical application of fluoride varnish 91 91 $2K
D0150 Comprehensive oral evaluation - new or established patient 19 19 $757.90
D0230 Intraoral - periapical each additional radiographic image 117 104 $746.18