Medicaid Provider Spending

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

HACKLEY COMMUNITY CARE CENTER INC

NPI: 1912506635 · MUSKEGON, MI 49444 · Federally Qualified Health Center (FQHC) · NPI assigned 10/23/2020

$15K
Total Medicaid Paid
374
Total Claims
351
Beneficiaries
6
Codes Billed
2023-04
First Month
2023-07
Last Month

Provider Details

Authorized OfficialWEGLARZ, SHERI (COO)
NPI Enumeration Date10/23/2020

Related Entities

Other providers sharing the same authorized official: WEGLARZ, SHERI

ProviderCityStateTotal Paid
HACKLEY COMMUNITY CARE CENTER INC FRUITPORT MI $206K
HACKLEY COMMUNITY CARE CENTER INC MUSKEGON MI $139K
HACKLEY COMMUNITY CARE CENTER INC HOLTON MI $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 374 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 97 97 $5K
D7140 Extraction, erupted tooth or exposed root 43 24 $4K
D0140 Limited oral evaluation - problem focused 80 80 $3K
D0220 Intraoral - periapical first radiographic image 90 86 $1K
D0120 Periodic oral evaluation - established patient 40 40 $1K
D0274 Bitewings - four radiographic images 24 24 $847.09