Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › EASTPOINTE › PREFERRED DENTAL PRACTICE, PC

PREFERRED DENTAL PRACTICE, PC

NPI: 1841383841 · EASTPOINTE, MI 48021 · Dental Hygienist · NPI assigned 10/02/2006

$27K
Total Medicaid Paid
838
Total Claims
838
Beneficiaries
5
Codes Billed
2018-04
First Month
2023-09
Last Month

Provider Details

Authorized OfficialDEMEULENAERE, TIMOTHY (GENERAL DENTIST/PRESIDENT)
NPI Enumeration Date10/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 402 $13K
2019 332 $11K
2020 55 $1K
2021 36 $892.00
2023 13 $380.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 322 322 $12K
D0120 Periodic oral evaluation - established patient 342 342 $10K
D1206 Topical application of fluoride varnish 132 132 $4K
D1208 Topical application of fluoride, excluding varnish 27 27 $654.70
D0220 Intraoral - periapical first radiographic image 15 15 $220.21