Medicaid Provider Spending

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

NORTH OAKS DENTAL PLLC

NPI: 1588962351 · ROYAL OAK, MI 48073 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/03/2011

$28K
Total Medicaid Paid
1,056
Total Claims
1,051
Beneficiaries
7
Codes Billed
2020-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDABOUL, ALVIN (DR)
NPI Enumeration Date03/03/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 60 $2K
2021 178 $5K
2022 367 $9K
2023 261 $7K
2024 190 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 478 476 $12K
D1206 Topical application of fluoride varnish 273 272 $7K
D1120 Prophylaxis - child 162 162 $6K
D0274 Bitewings - four radiographic images 29 29 $903.00
D0220 Intraoral - periapical first radiographic image 56 56 $842.00
D1110 Prophylaxis - adult 14 14 $715.00
D0230 Intraoral - periapical each additional radiographic image 44 42 $372.00