Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › CHESTERFIELD › NEW BALTIMORE DENTAL CENTER

NEW BALTIMORE DENTAL CENTER

NPI: 1447594080 · CHESTERFIELD, MI 48047 · General Practice Dentistry · NPI assigned 11/20/2012

$1K
Total Medicaid Paid
42
Total Claims
42
Beneficiaries
2
Codes Billed
2024-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOKONOWSKI, JOHN (OWNER)
NPI Enumeration Date11/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 27 27 $756.25
D1208 Topical application of fluoride, excluding varnish 15 15 $351.00