Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › PORTLAND › TRU DENTAL MICHIGAN PC

TRU DENTAL MICHIGAN PC

NPI: 1770164980 · PORTLAND, MI 48875 · General Practice Dentistry · NPI assigned 04/19/2021

$28K
Total Medicaid Paid
1,308
Total Claims
1,304
Beneficiaries
6
Codes Billed
2021-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHAYES, CELIA (CREDENTIALING COORDINATOR)
Parent OrganizationTRU DENTAL MICHIGAN PC
NPI Enumeration Date04/19/2021

Related Entities

Other providers sharing the same authorized official: HAYES, CELIA

ProviderCityStateTotal Paid
ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC SAINT PAUL MN $1.26M
FAMILY PEDIATRIC DENTAL SPECIALISTS PLC BURNSVILLE MN $756K
FAMILY ORTHODONTIC SPECIALISTS, PLC RICHFIELD MN $277K
TRU DENTAL MICHIGAN II, PLLC LAPEER MI $169K
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC GREENFIELD MA $17K
TRU DENTAL MICHIGAN II, PLLC WARREN MI $17K
TRU DENTAL MICHIGAN PC LIVONIA MI $16K
TRU DENTAL MICHIGAN PC DEARBORN HEIGHTS MI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 352 $8K
2022 542 $10K
2023 347 $8K
2024 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 475 475 $9K
D1120 Prophylaxis - child 223 223 $8K
D0120 Periodic oral evaluation - established patient 311 311 $7K
D0220 Intraoral - periapical first radiographic image 158 158 $2K
D0230 Intraoral - periapical each additional radiographic image 115 111 $855.24
D0272 Bitewings - two radiographic images 26 26 $575.00