GREAT LAKES DENTAL CARE P.C.
NPI: 1730238577
· GRAND RAPIDS, MI 49544
· 1223G0001X
$751K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,285 |
$66K |
| 2019 |
3,066 |
$85K |
| 2020 |
3,293 |
$85K |
| 2021 |
4,817 |
$139K |
| 2022 |
6,213 |
$185K |
| 2023 |
4,308 |
$120K |
| 2024 |
2,518 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,903 |
2,879 |
$124K |
| D0120 |
|
5,472 |
5,425 |
$122K |
| D1120 |
|
3,556 |
3,531 |
$120K |
| D1206 |
|
4,647 |
4,607 |
$84K |
| D2150 |
|
845 |
484 |
$61K |
| D0150 |
|
1,382 |
1,375 |
$50K |
| D0274 |
|
1,840 |
1,824 |
$47K |
| D0210 |
|
624 |
619 |
$38K |
| D1351 |
|
865 |
227 |
$20K |
| D0140 |
|
479 |
470 |
$17K |
| D0220 |
|
1,335 |
1,282 |
$16K |
| D0272 |
|
895 |
894 |
$16K |
| D0330 |
|
339 |
337 |
$16K |
| D2140 |
|
133 |
98 |
$8K |
| D7140 |
|
79 |
40 |
$5K |
| D0230 |
|
597 |
314 |
$4K |
| D2391 |
|
20 |
15 |
$1K |
| D2740 |
|
18 |
15 |
$1K |
| D4346 |
|
41 |
41 |
$0.00 |
| D1999 |
|
430 |
384 |
$0.00 |