Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › WARREN › GREAT LAKES FAMILY DENTAL GROUP-WARREN, P.C.

GREAT LAKES FAMILY DENTAL GROUP-WARREN, P.C.

NPI: 1801345061 · WARREN, MI 48091 · Dentist · NPI assigned 09/29/2016

$30K
Total Medicaid Paid
1,099
Total Claims
1,098
Beneficiaries
6
Codes Billed
2018-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHART, PATRICIA (CORPORATE MANAGER)
NPI Enumeration Date09/29/2016

Related Entities

Other providers sharing the same authorized official: HART, PATRICIA

ProviderCityStateTotal Paid
GREAT LAKES FAMILY DENTAL GROUP SAGINAW, PC SAGINAW MI $436K
GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C. MUNCIE IN $429K
C PATRICK GRAY DDS PC FLINT MI $310K
GREAT LAKES FAMILY DENTAL GROUP BLISSFIELD PC BLISSFIELD MI $142K
GREAT LAKES FAMILY DENTAL GROUP - TECUMSEH PC TECUMSEH MI $102K
GREAT LAKES FAMILY DENTAL GROUP-ALMONT,P.C. ALMONT MI $68K
GREAT LAKES FAMILY DENTAL GROUP - MT MORRIS PC MT MORRIS MI $15K
GREAT LAKES FAMILY DENTAL GROUP-ST. JOSEPH SAINT JOSEPH MI $3K
GREAT LAKES FAMILY DENTALGROUP-HOWELL HOWELL MI $3K
GREAT LAKES FAMILY DENTAL GROUP-DEWITT, P.C. DEWITT MI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $2K
2019 151 $5K
2020 162 $4K
2021 417 $12K
2022 298 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 261 261 $10K
D0120 Periodic oral evaluation - established patient 381 381 $10K
D1208 Topical application of fluoride, excluding varnish 361 361 $9K
D0220 Intraoral - periapical first radiographic image 54 53 $776.00
D1110 Prophylaxis - adult 15 15 $645.00
D0230 Intraoral - periapical each additional radiographic image 27 27 $170.00