METROPOLITAN DENTAL CENTER OF WATERFORD PC
NPI: 1790851970
· WATERFORD, MI 48329
· Dentist
· NPI assigned 11/28/2006
$117K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
636 |
$20K |
| 2019 |
574 |
$16K |
| 2020 |
566 |
$14K |
| 2021 |
824 |
$24K |
| 2022 |
693 |
$17K |
| 2023 |
719 |
$18K |
| 2024 |
232 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
942 |
942 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,153 |
1,153 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
1,002 |
939 |
$15K |
| D1120 |
Prophylaxis - child |
238 |
238 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
313 |
313 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
93 |
93 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
382 |
353 |
$3K |
| D0274 |
Bitewings - four radiographic images |
92 |
92 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$576.00 |
| D1999 |
|
17 |
17 |
$0.00 |