MODERN AMERICAN DENTAL CLINIC P. C.
NPI: 1407184641
· DEARBORN, MI 48126
· 122300000X
$2.60M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,751 |
$33K |
| 2019 |
2,800 |
$47K |
| 2020 |
3,565 |
$94K |
| 2021 |
4,154 |
$102K |
| 2022 |
4,012 |
$105K |
| 2023 |
12,707 |
$1.10M |
| 2024 |
11,740 |
$1.13M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
|
880 |
474 |
$595K |
| D2751 |
|
306 |
157 |
$191K |
| D1351 |
|
5,279 |
472 |
$160K |
| D2954 |
|
736 |
437 |
$155K |
| D3320 |
|
267 |
199 |
$135K |
| D3330 |
|
173 |
157 |
$109K |
| D1110 |
|
2,402 |
2,386 |
$107K |
| D0120 |
|
4,059 |
4,035 |
$98K |
| D0140 |
|
3,048 |
2,890 |
$97K |
| D0274 |
|
3,622 |
3,598 |
$95K |
| D4355 |
|
1,304 |
1,294 |
$93K |
| D2950 |
|
517 |
344 |
$89K |
| D0330 |
|
1,446 |
1,440 |
$79K |
| D0220 |
|
5,835 |
5,649 |
$76K |
| D7210 |
|
486 |
292 |
$75K |
| D3310 |
|
147 |
71 |
$61K |
| D2722 |
|
110 |
60 |
$60K |
| D1120 |
|
1,322 |
1,321 |
$54K |
| D4341 |
|
341 |
90 |
$52K |
| D0150 |
|
1,308 |
1,304 |
$48K |
| D1208 |
|
1,948 |
1,947 |
$46K |
| D0230 |
|
5,449 |
5,307 |
$42K |
| D7140 |
|
370 |
250 |
$32K |
| D5213 |
|
13 |
13 |
$13K |
| D5214 |
|
12 |
12 |
$12K |
| D2392 |
|
151 |
95 |
$11K |
| D2393 |
|
92 |
53 |
$10K |
| D2391 |
|
65 |
29 |
$4K |
| D1510 |
|
16 |
12 |
$3K |
| D0272 |
|
25 |
25 |
$550.00 |