Medicaid Provider Spending

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

ALLEN PARK DENTISTRY

NPI: 1467066613 · ALLEN PARK, MI 48101 · General Practice Dentistry · NPI assigned 09/04/2020

$3K
Total Medicaid Paid
149
Total Claims
145
Beneficiaries
6
Codes Billed
2021-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSAAD, MOHAMED (OWNER)
NPI Enumeration Date09/04/2020

Related Entities

Other providers sharing the same authorized official: SAAD, MOHAMED

ProviderCityStateTotal Paid
WARREN FAMILY DENTISTRY WARREN MI $1K
STERLING HEIGHTS DENTISTRY PLLC STERLING HEIGHTS MI $337.25

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $369.00
2023 12 $490.00
2024 125 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 27 27 $1K
D0220 Intraoral - periapical first radiographic image 48 48 $726.97
D1120 Prophylaxis - child 12 12 $369.00
D0230 Intraoral - periapical each additional radiographic image 35 31 $329.83
D0120 Periodic oral evaluation - established patient 14 14 $276.68
D1206 Topical application of fluoride varnish 13 13 $249.54