MICHIGAN FAMILY DENTAL CARE, PLLC
NPI: 1659997716
· SOUTHFIELD, MI 48034
· Dental Clinic/Center
· NPI assigned 06/24/2020
$489K
Total Medicaid Paid
Provider Details
| Authorized Official | YOSIF, AHMAD (OWNER) |
| NPI Enumeration Date | 06/24/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,075 |
$41K |
| 2022 |
3,292 |
$177K |
| 2023 |
1,719 |
$195K |
| 2024 |
749 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,902 |
619 |
$177K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,184 |
579 |
$109K |
| D0330 |
Panoramic radiographic image |
1,351 |
1,330 |
$46K |
| D7230 |
|
288 |
173 |
$42K |
| D9222 |
|
607 |
580 |
$41K |
| D7240 |
Removal of impacted tooth - completely bony |
168 |
92 |
$39K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,335 |
1,315 |
$36K |