Medicaid Provider Spending

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

EXTRA DENTAL PC

NPI: 1598400293 · SHELBY TOWNSHIP, MI 48316 · 261QD0000X

$3K

Total Medicaid Paid

83

Total Claims

82

Beneficiaries

4

Codes Billed

2023-08

First Month

2024-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	15	$616.55
2024	68	$3K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		25	25	$1K
D0150		31	30	$1K
D0120		14	14	$417.82
D0220		13	13	$231.58