Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SAGINAW › PLEV SAG, PLC

PLEV SAG, PLC

NPI: 1891103040 · SAGINAW, MI 48604 · Dentist · NPI assigned 07/31/2014

$27K
Total Medicaid Paid
470
Total Claims
428
Beneficiaries
5
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERTOLLINI, JASON (PRS)
NPI Enumeration Date07/31/2014

Related Entities

Other providers sharing the same authorized official: BERTOLLINI, JASON

ProviderCityStateTotal Paid
TAWFIQ ALKILANI DDS PLLC TRAVERSE CITY MI $360K
PLEASANT SMILES DENTAL CARE, PLLC MT PLEASANT MI $315K
GILL DENTAL PC LANSING MI $195K
PLEV BC PLC EAST SYRACUSE NY $142K
DR. ELDIB, PLLC ADRIAN MI $81K
EPP OREGON LLC TUALATIN OR $57K
PLEV, PC FLINT MI $9K
PURA VIDA SMILES, PC JACKSON MI $8K
VMLP AH PLC LAKE ORION MI $1K
SCOTT NIGL DENTAL PC FORT GRATIOT MI $501.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 13 $100.00
2023 94 $5K
2024 363 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 181 181 $11K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 49 17 $8K
D0150 Comprehensive oral evaluation - new or established patient 192 192 $8K
D1206 Topical application of fluoride varnish 26 25 $130.00
D9630 22 13 $0.00