Medicaid Provider Spending

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

ZETOUNA, MAHA

NPI: 1932260791 · CANTON, MI 48187 · General Practice Dentistry · NPI assigned 12/13/2006

$6K
Total Medicaid Paid
227
Total Claims
215
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 123 $3K
2020 104 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 58 57 $2K
D0120 Periodic oral evaluation - established patient 65 56 $1K
D0140 Limited oral evaluation - problem focused 28 27 $888.00
D0150 Comprehensive oral evaluation - new or established patient 19 19 $747.00
D1120 Prophylaxis - child 18 18 $720.00
D1208 Topical application of fluoride, excluding varnish 21 21 $456.00
D1999 18 17 $0.00