ELDERLY ORAL HEALTH CARE CONSULTING
NPI: 1942616958
· SOUTHFIELD, MI 48034
· Dental Hygienist
· NPI assigned 07/10/2014
$1.08M
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, SEAN (CEO/DENTAL HYGIENIST) |
| NPI Enumeration Date | 07/10/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
918 |
$26K |
| 2019 |
1,220 |
$38K |
| 2020 |
1,518 |
$45K |
| 2021 |
1,988 |
$54K |
| 2022 |
2,631 |
$66K |
| 2023 |
12,821 |
$386K |
| 2024 |
15,980 |
$470K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
22,444 |
2,522 |
$627K |
| D1110 |
Prophylaxis - adult |
2,921 |
2,916 |
$121K |
| D0191 |
|
5,582 |
5,570 |
$116K |
| D1120 |
Prophylaxis - child |
1,983 |
1,981 |
$79K |
| D4355 |
|
1,194 |
1,194 |
$62K |
| D1206 |
Topical application of fluoride varnish |
1,630 |
1,628 |
$44K |
| D1208 |
Topical application of fluoride, excluding varnish |
589 |
589 |
$13K |
| D1354 |
|
514 |
181 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
174 |
174 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$1K |