Medicaid Provider Spending

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

FADI ASSAF DDS V PLLC

NPI: 1447762687 · SHELBY TOWNSHIP, MI 48317 · Dental Clinic/Center · NPI assigned 10/27/2017

$2K
Total Medicaid Paid
53
Total Claims
52
Beneficiaries
3
Codes Billed
2024-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialASSAF, FADI (OWNER)
NPI Enumeration Date10/27/2017

Related Entities

Other providers sharing the same authorized official: ASSAF, FADI

ProviderCityStateTotal Paid
FADI ASSAF II D.D.S. PLLC FARMINGTON HILLS MI $287K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 25 25 $1K
D0120 Periodic oral evaluation - established patient 13 13 $366.30
D0220 Intraoral - periapical first radiographic image 15 14 $257.50