Medicaid Provider Spending

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

ROYAL DENTAL CENTER PLLC

NPI: 1982363677 · WEST BLOOMFIELD, MI 48323 · Dental Clinic/Center · NPI assigned 12/10/2021

$16K
Total Medicaid Paid
637
Total Claims
486
Beneficiaries
8
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialISMAIL, MANAL (OWNER)
NPI Enumeration Date12/10/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 157 $6K
2024 480 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2950 31 15 $4K
D0210 Intraoral - complete series of radiographic images 76 71 $3K
D0220 Intraoral - periapical first radiographic image 177 148 $2K
D0150 Comprehensive oral evaluation - new or established patient 78 77 $2K
D1110 Prophylaxis - adult 42 41 $2K
D0120 Periodic oral evaluation - established patient 53 52 $1K
D0230 Intraoral - periapical each additional radiographic image 168 70 $1K
D0274 Bitewings - four radiographic images 12 12 $340.01