BAY MILLS INDIAN COMMUNITY
NPI: 1851358873
· BRIMLEY, MI 49715
· Dental Clinic/Center
· NPI assigned 04/26/2006
$1.42M
Total Medicaid Paid
Provider Details
| Authorized Official | KAUNISTO, ABBY (CLINIC COORDINATOR) |
| NPI Enumeration Date | 04/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,368 |
$246K |
| 2019 |
2,673 |
$273K |
| 2020 |
1,323 |
$146K |
| 2021 |
2,065 |
$218K |
| 2022 |
1,647 |
$227K |
| 2023 |
1,956 |
$250K |
| 2024 |
727 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,827 |
1,821 |
$373K |
| D0140 |
|
1,335 |
1,314 |
$302K |
| D7140 |
|
2,301 |
855 |
$283K |
| D0120 |
|
2,263 |
2,260 |
$192K |
| D0150 |
|
452 |
451 |
$81K |
| D2392 |
|
293 |
227 |
$62K |
| D2391 |
|
306 |
223 |
$49K |
| D1206 |
|
1,001 |
995 |
$22K |
| D1120 |
|
574 |
568 |
$21K |
| D0274 |
|
581 |
581 |
$11K |
| D0220 |
|
1,110 |
1,091 |
$10K |
| D0210 |
|
233 |
232 |
$10K |
| D0330 |
|
149 |
148 |
$3K |
| D2331 |
|
16 |
12 |
$3K |
| D0272 |
|
12 |
12 |
$250.00 |
| D0602 |
|
257 |
254 |
$0.00 |
| D0603 |
|
36 |
36 |
$0.00 |
| D0601 |
|
13 |
12 |
$0.00 |