Medicaid Provider Spending

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

SU, MICHAEL

NPI: 1720630809 · SHELBY TOWNSHIP, MI 48317 · General Practice Dentistry · NPI assigned 07/10/2019

$13K
Total Medicaid Paid
337
Total Claims
326
Beneficiaries
8
Codes Billed
2023-04
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 337 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 49 49 $3K
D1110 Prophylaxis - adult 56 56 $3K
D0150 Comprehensive oral evaluation - new or established patient 50 50 $2K
D0140 Limited oral evaluation - problem focused 33 33 $1K
D0220 Intraoral - periapical first radiographic image 69 68 $1K
D0120 Periodic oral evaluation - established patient 34 34 $1K
D0274 Bitewings - four radiographic images 24 24 $883.92
D0230 Intraoral - periapical each additional radiographic image 22 12 $213.15