WOLVERINE COSMETIC DENTAL L.L.C
NPI: 1881859239
· SOUTHFIELD, MI 48076
· 122300000X
$2.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,663 |
$199K |
| 2019 |
5,904 |
$268K |
| 2020 |
4,830 |
$195K |
| 2021 |
6,817 |
$275K |
| 2022 |
6,010 |
$250K |
| 2023 |
8,041 |
$530K |
| 2024 |
7,266 |
$456K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1352 |
|
5,680 |
1,099 |
$367K |
| D2393 |
|
2,966 |
1,571 |
$339K |
| D2392 |
|
3,313 |
1,574 |
$322K |
| D4355 |
|
2,847 |
2,839 |
$212K |
| D0120 |
|
5,719 |
5,702 |
$132K |
| D2740 |
|
191 |
120 |
$121K |
| D0210 |
|
1,669 |
1,652 |
$94K |
| D1110 |
|
1,934 |
1,932 |
$83K |
| D0274 |
|
2,520 |
2,510 |
$69K |
| D1120 |
|
1,584 |
1,578 |
$62K |
| D1208 |
|
2,325 |
2,315 |
$55K |
| D0140 |
|
1,730 |
1,658 |
$52K |
| D2950 |
|
302 |
194 |
$49K |
| D0220 |
|
3,658 |
3,579 |
$46K |
| D4341 |
|
317 |
103 |
$43K |
| D2391 |
|
528 |
255 |
$41K |
| D0230 |
|
4,965 |
2,698 |
$33K |
| D1351 |
|
715 |
102 |
$22K |
| D2394 |
|
114 |
90 |
$16K |
| D0150 |
|
297 |
297 |
$9K |
| D0272 |
|
132 |
132 |
$3K |
| D4910 |
|
25 |
25 |
$2K |