Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GROSSE POINTE › LGDC PLLC

LGDC PLLC

NPI: 1548836935 · GROSSE POINTE, MI 48230 · Dental Clinic/Center · NPI assigned 05/27/2021

$3K
Total Medicaid Paid
107
Total Claims
107
Beneficiaries
3
Codes Billed
2022-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialWESTPHALEN, GEORGE (OWNER)
NPI Enumeration Date05/27/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $232.00
2023 51 $1K
2024 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 51 51 $1K
D1208 Topical application of fluoride, excluding varnish 44 44 $896.57
D1110 Prophylaxis - adult 12 12 $500.95