Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › WESTLAND › OVAL DENTAL GROUP P C

OVAL DENTAL GROUP P C

NPI: 1629536388 · WESTLAND, MI 48186 · Dentist · NPI assigned 03/12/2019

$7K
Total Medicaid Paid
396
Total Claims
369
Beneficiaries
6
Codes Billed
2020-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialMACHADO, CAMILO (OWNER)
NPI Enumeration Date03/12/2019

Related Entities

Other providers sharing the same authorized official: MACHADO, CAMILO

ProviderCityStateTotal Paid
EZ DENTISTS PLC DEARBORN HEIGHTS MI $801K
ALPHA FAMILY DENTAL PC SAINT CLAIR SHORES MI $25K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 396 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 78 78 $2K
D0150 Comprehensive oral evaluation - new or established patient 83 83 $2K
D0274 Bitewings - four radiographic images 55 55 $961.11
D0210 Intraoral - complete series of radiographic images 17 17 $665.86
D0220 Intraoral - periapical first radiographic image 71 71 $516.86
D0230 Intraoral - periapical each additional radiographic image 92 65 $431.48