Medicaid Provider Spending

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

ROYAL DENTISTRY PLLC

NPI: 1427420165 · DEARBORN, MI 48124 · General Practice Dentistry · NPI assigned 10/21/2015

$8K
Total Medicaid Paid
299
Total Claims
289
Beneficiaries
7
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHASHWI, ABDUL LATIF (OWNER)
NPI Enumeration Date10/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 87 $2K
2024 212 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 67 67 $3K
D0220 Intraoral - periapical first radiographic image 114 109 $2K
D1208 Topical application of fluoride, excluding varnish 41 41 $895.53
D1110 Prophylaxis - adult 13 13 $750.75
D1120 Prophylaxis - child 13 13 $569.81
D0274 Bitewings - four radiographic images 13 13 $490.66
D0230 Intraoral - periapical each additional radiographic image 38 33 $379.92