Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › FARMINGTON HILLS › PESIS DENTAL GROUP, P.C.

PESIS DENTAL GROUP, P.C.

NPI: 1699953315 · FARMINGTON HILLS, MI 48336 · General Practice Dentistry · NPI assigned 02/05/2008

$82K
Total Medicaid Paid
2,440
Total Claims
2,419
Beneficiaries
6
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPESIS, SOLOMON (PRESIDENT)
NPI Enumeration Date02/05/2008

Related Entities

Other providers sharing the same authorized official: PESIS, SOLOMON

ProviderCityStateTotal Paid
S K PESIS DDS, BIG SMILES MARYLAND, PC BALTIMORE MD $6.92M
BIG SMILES DC, P.C. WASHINGTON DC $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 138 $4K
2020 159 $5K
2021 293 $9K
2022 478 $16K
2023 760 $25K
2024 612 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 649 648 $27K
D0120 Periodic oral evaluation - established patient 820 820 $23K
D1206 Topical application of fluoride varnish 819 817 $21K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 44 26 $5K
D1110 Prophylaxis - adult 95 95 $5K
D0274 Bitewings - four radiographic images 13 13 $461.02