Medicaid Provider Spending

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

HEALTHY SMILE DENTAL CARE, P.C.

NPI: 1699440438 · SHELBY TWP, MI 48315 · Dental Clinic/Center · NPI assigned 08/13/2021

$30K
Total Medicaid Paid
799
Total Claims
795
Beneficiaries
8
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAHIMO, ANAS (DENTIST)
NPI Enumeration Date08/13/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 52 $1K
2024 747 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 275 275 $8K
D1120 Prophylaxis - child 162 162 $7K
D0150 Comprehensive oral evaluation - new or established patient 153 152 $7K
D0210 Intraoral - complete series of radiographic images 57 57 $5K
D0120 Periodic oral evaluation - established patient 54 54 $2K
D0220 Intraoral - periapical first radiographic image 56 56 $989.88
D4346 13 13 $871.20
D0230 Intraoral - periapical each additional radiographic image 29 26 $308.54