PEDIATRIC DENTISTRY OF MICHIGAN PLLC
NPI: 1831702695
· GRAND RAPIDS, MI 49525
· 1223P0221X
$2.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
292 |
$11K |
| 2021 |
4,664 |
$181K |
| 2022 |
7,958 |
$425K |
| 2023 |
11,284 |
$665K |
| 2024 |
13,145 |
$747K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,604 |
1,181 |
$522K |
| D1120 |
|
5,021 |
5,017 |
$215K |
| D2392 |
|
1,628 |
1,130 |
$210K |
| D3220 |
|
1,244 |
663 |
$162K |
| D2391 |
|
1,479 |
1,087 |
$140K |
| D0120 |
|
3,666 |
3,664 |
$126K |
| D7140 |
|
1,094 |
619 |
$108K |
| D1208 |
|
3,553 |
3,551 |
$87K |
| D0220 |
|
3,885 |
3,827 |
$71K |
| D0150 |
|
1,112 |
1,112 |
$69K |
| D0272 |
|
2,765 |
2,756 |
$57K |
| D0230 |
|
4,278 |
3,336 |
$55K |
| D0140 |
|
762 |
751 |
$47K |
| D1206 |
|
1,470 |
1,466 |
$45K |
| D1351 |
|
1,221 |
525 |
$39K |
| D1510 |
|
119 |
94 |
$25K |
| D1354 |
|
741 |
248 |
$20K |
| D0145 |
|
446 |
445 |
$18K |
| D1110 |
|
205 |
205 |
$10K |
| D0274 |
|
50 |
50 |
$2K |