CLIO DENTAL CENTER
NPI: 1891730487
· CLIO, MI 48420
· General Practice Dentistry
· NPI assigned 06/18/2006
$130K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MILLER, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
243 |
$6K |
| 2019 |
99 |
$2K |
| 2020 |
800 |
$22K |
| 2021 |
993 |
$28K |
| 2022 |
844 |
$23K |
| 2023 |
836 |
$28K |
| 2024 |
605 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,171 |
1,165 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,788 |
1,780 |
$41K |
| D1120 |
Prophylaxis - child |
415 |
415 |
$16K |
| D1206 |
Topical application of fluoride varnish |
606 |
606 |
$14K |
| D0274 |
Bitewings - four radiographic images |
290 |
288 |
$7K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
29 |
24 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
121 |
116 |
$2K |