Medicaid Provider Spending

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

CANTON ARDENT

NPI: 1407462187 · CANTON, MI 48187 · Dental Clinic/Center · NPI assigned 09/18/2020

$21K
Total Medicaid Paid
760
Total Claims
739
Beneficiaries
9
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURKEEN, LAURA (MANANGER)
NPI Enumeration Date09/18/2020

Related Entities

Other providers sharing the same authorized official: BURKEEN, LAURA

ProviderCityStateTotal Paid
SOUTHGATE ARDENT PLLC SOUTHGATE MI $116K
PLYMOUTH ARDENT PLYMOUTH MI $816.75

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 13 $190.40
2023 154 $3K
2024 593 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 172 172 $8K
D0220 Intraoral - periapical first radiographic image 289 277 $4K
D0150 Comprehensive oral evaluation - new or established patient 69 69 $3K
D0120 Periodic oral evaluation - established patient 78 78 $2K
D1206 Topical application of fluoride varnish 50 50 $1K
D0140 Limited oral evaluation - problem focused 16 14 $588.21
D1120 Prophylaxis - child 13 13 $553.02
D0230 Intraoral - periapical each additional radiographic image 57 52 $545.16
D0210 Intraoral - complete series of radiographic images 16 14 $506.84