Medicaid Provider Spending

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

NPI: 1659936441 · ROSEVILLE, MI 48066 · Endodontist · NPI assigned 05/07/2019

$4K
Total Medicaid Paid
160
Total Claims
160
Beneficiaries
3
Codes Billed
2019-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWEINER, WHITNEY (OWNER)
Parent OrganizationWDW VENTURES LLC
NPI Enumeration Date05/07/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $308.00
2020 13 $340.70
2021 12 $308.00
2022 57 $1K
2023 15 $336.00
2024 51 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 76 76 $2K
D1206 Topical application of fluoride varnish 70 70 $2K
D1120 Prophylaxis - child 14 14 $420.00