EXECUTIVE DENTISTRY DDS PC
NPI: 1598007692
· DEARBORN, MI 48124
· 122300000X
$404K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
618 |
$17K |
| 2021 |
2,181 |
$83K |
| 2022 |
2,327 |
$85K |
| 2023 |
2,629 |
$100K |
| 2024 |
2,982 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,238 |
493 |
$150K |
| D1110 |
|
1,211 |
1,205 |
$61K |
| D0120 |
|
1,980 |
1,976 |
$52K |
| D1120 |
|
1,156 |
1,156 |
$43K |
| D1208 |
|
1,495 |
1,494 |
$34K |
| D0274 |
|
707 |
703 |
$23K |
| D0220 |
|
1,306 |
1,285 |
$20K |
| D0230 |
|
1,532 |
1,073 |
$14K |
| D0150 |
|
77 |
77 |
$3K |
| D2393 |
|
16 |
14 |
$3K |
| D0330 |
|
19 |
19 |
$720.00 |