Medicaid Provider Spending

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

42 NORTH DENTAL CARE OF MICHIGAN, PLLC

NPI: 1679213573 · WARREN, MI 48091 · Dental Clinic/Center · NPI assigned 03/30/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCIALABBA, MICHAEL controls 14+ related entities in our dataset. Read more

$6K
Total Medicaid Paid
221
Total Claims
219
Beneficiaries
6
Codes Billed
2023-03
First Month
2023-06
Last Month

Provider Details

Authorized OfficialSCIALABBA, MICHAEL (CHIEF CLINICAL OFFICER)
Parent Organization42 NORTH DENTAL CARE OF MICHIGAN, PLLC
NPI Enumeration Date03/30/2022

Related Entities

Other providers sharing the same authorized official: SCIALABBA, MICHAEL

ProviderCityStateTotal Paid
42 NORTH DENTAL CARE, LLC WALTHAM MA $2.23M
42 NORTH DENTAL CARE, LLC MANSFIELD MA $1.17M
42 NORTH DENTAL CARE, LLC WATERTOWN MA $339K
42 NORTH DENTAL CARE, LLC CAMBRIDGE MA $138K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC BLISSFIELD MI $70K
42 NORTH DENTAL CARE, LLC BROOKLINE MA $40K
42 NORTH DENTAL CARE OF INDIANA, LLC MUNCIE IN $36K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC ALMONT MI $27K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC CHARLOTTE MI $16K
42 NORTH DENTAL ORAL SURGERY OF MA, PLLC QUINCY MA $15K
42 NORTH DENTAL CARE OF MICHIGAN, PLLC HOWELL MI $3K
42 NORTH DENTAL CARE PLLC SOUTHBURY CT $0.00
42 NORTH DENTAL CARE PLLC WATERBURY CT $0.00
42 NORTH DENTAL CARE PLLC MANCHESTER CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 221 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 66 65 $2K
D1206 Topical application of fluoride varnish 60 59 $2K
D1120 Prophylaxis - child 31 31 $1K
D0220 Intraoral - periapical first radiographic image 31 31 $453.00
D0274 Bitewings - four radiographic images 14 14 $383.00
D0230 Intraoral - periapical each additional radiographic image 19 19 $157.00