Medicaid Provider Spending

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

DELUXE DENTAL ASSOCIATES #8 ROSEVILLE PLLC

NPI: 1699555235 · ROSEVILLE, MI 48066 · General Practice Dentistry · NPI assigned 10/02/2023

$17K
Total Medicaid Paid
478
Total Claims
236
Beneficiaries
5
Codes Billed
2024-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMIKHA-KIZY, AMBER (OWNER)
NPI Enumeration Date10/02/2023

Related Entities

Other providers sharing the same authorized official: MIKHA-KIZY, AMBER

ProviderCityStateTotal Paid
DELUXE DENTAL ASSOCIATES 9-WARREN PLLC WARREN MI $633.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 478 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 264 24 $7K
D0150 Comprehensive oral evaluation - new or established patient 116 115 $5K
D0210 Intraoral - complete series of radiographic images 46 46 $3K
D1110 Prophylaxis - adult 37 37 $2K
D0220 Intraoral - periapical first radiographic image 15 14 $240.64