Medicaid Provider Spending

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

H2G DENTAL PLLC

NPI: 1396406369 · DAVISON, MI 48423 · General Practice Dentistry · NPI assigned 01/03/2022

$26K
Total Medicaid Paid
854
Total Claims
848
Beneficiaries
5
Codes Billed
2022-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSCHAAF, MICHAEL (DIRECTOR OF OPERATIONS)
Parent OrganizationMOTOR CITY DENTAL PARTNERS LLC
NPI Enumeration Date01/03/2022

Related Entities

Other providers sharing the same authorized official: SCHAAF, MICHAEL

ProviderCityStateTotal Paid
SMILE ZONE PLLC MONROE MI $1.78M
MICHIGAN RESTORATIVE INSTITUTE, PLLC FORT GRATIOT MI $1.23M
MICHIGAN RESTORATIVE INSTITUTE, PLLC CANTON MI $17K
H2G DENTAL PLLC MOUNT MORRIS MI $10K
H2G DENTAL PLLC ALLEN PARK MI $8K
H2G DENTAL PLLC SAINT CLAIR MI $360.00
H2G DENTAL PLLC LAPEER MI $323.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 397 $12K
2023 178 $5K
2024 279 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 251 251 $10K
D0120 Periodic oral evaluation - established patient 277 277 $8K
D1206 Topical application of fluoride varnish 264 264 $7K
D0220 Intraoral - periapical first radiographic image 29 29 $540.62
D0230 Intraoral - periapical each additional radiographic image 33 27 $393.33