Medicaid Provider Spending

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

EASTPOINTE FAMILY DENTAL CENTER

NPI: 1447861299 · EASTPOINTE, MI 48021 · Dental Clinic/Center · NPI assigned 08/14/2020

$4K
Total Medicaid Paid
224
Total Claims
224
Beneficiaries
5
Codes Billed
2020-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSOLWAY, MARK (OWNER)
NPI Enumeration Date08/14/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 55 $699.00
2021 50 $740.80
2022 38 $628.00
2023 40 $548.37
2024 41 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 96 96 $1K
D0140 Limited oral evaluation - problem focused 27 27 $1K
D1208 Topical application of fluoride, excluding varnish 50 50 $907.00
D0230 Intraoral - periapical each additional radiographic image 39 39 $274.27
D0120 Periodic oral evaluation - established patient 12 12 $250.12