Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MICHIGAN PRIVATE DENTAL GROUP

NPI: 1902203227 · SAINT CLAIR SHORES, MI 48081 · General Practice Dentistry · NPI assigned 12/02/2014

$427.00
Total Medicaid Paid
24
Total Claims
24
Beneficiaries
1
Codes Billed
2020-07
First Month
2022-07
Last Month

Provider Details

Authorized OfficialBIELKIE, ANTHONY (PRESIDENT)
NPI Enumeration Date12/02/2014

Related Entities

Other providers sharing the same authorized official: BIELKIE, ANTHONY

ProviderCityStateTotal Paid
CLINTON TOWNSHIP DENTAL GROUP CLINTON TWP MI $3K
ANTHONY R BIELKIE DDS PC SHELBY TOWNSHIP MI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $224.00
2022 12 $203.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 24 24 $427.00