Medicaid Provider Spending

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

PERSICHETTI DENTAL PLLC

NPI: 1972286664 · CLINTON TOWNSHIP, MI 48038 · General Practice Dentistry · NPI assigned 08/09/2023

$4K
Total Medicaid Paid
158
Total Claims
150
Beneficiaries
4
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPERSICHETTI, JENNIFER (OWNER)
NPI Enumeration Date08/09/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $420.00
2024 144 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 83 83 $2K
D1110 Prophylaxis - adult 12 12 $635.25
D0220 Intraoral - periapical first radiographic image 31 31 $527.25
D0230 Intraoral - periapical each additional radiographic image 32 24 $335.25