Medicaid Provider Spending

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

LAKEVIEW DENTAL CARE

NPI: 1518584564 · WHITMORE LAKE, MI 48189 · Dental Clinic/Center · NPI assigned 06/25/2020

$10K
Total Medicaid Paid
484
Total Claims
484
Beneficiary Records
5
Codes Billed
2020-07
First Month
2024-04
Last Month

Provider Details

Authorized OfficialVERLEYE, MICHELLE (INSURANCE COORDINATOR)
NPI Enumeration Date06/25/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 75 $1K
2021 99 $2K
2022 116 $3K
2023 156 $3K
2024 38 $860.51

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 223 223 $5K
D1206 Topical application of fluoride varnish 93 93 $2K
D1120 Prophylaxis - child 54 54 $2K
D0220 Intraoral - periapical first radiographic image 58 58 $776.16
D0230 Intraoral - periapical each additional radiographic image 56 56 $418.71