Medicaid Provider Spending

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

FAMILY DENTISTRY OF NOVI

NPI: 1780121749 · NOVI, MI 48374 · Dentist · NPI assigned 01/27/2017

$12K
Total Medicaid Paid
273
Total Claims
267
Beneficiaries
7
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIRANI, SAMER (PRESIDENT)
Parent OrganizationDIRANI DENTAL GROUP
NPI Enumeration Date01/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 273 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 60 60 $3K
D0120 Periodic oral evaluation - established patient 102 102 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 16 12 $2K
D0150 Comprehensive oral evaluation - new or established patient 30 30 $1K
D0210 Intraoral - complete series of radiographic images 15 14 $1K
D0220 Intraoral - periapical first radiographic image 38 37 $673.85
D1120 Prophylaxis - child 12 12 $511.78