Medicaid Provider Spending

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

MACK DENTAL CENTER

NPI: 1982855706 · HARPER WOODS, MI 48225 · General Practice Dentistry · NPI assigned 10/10/2008

$13K
Total Medicaid Paid
267
Total Claims
265
Beneficiaries
5
Codes Billed
2018-08
First Month
2024-03
Last Month

Provider Details

Authorized OfficialCHABIAA, GEORGE (PRESIDENT)
NPI Enumeration Date10/10/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $660.18
2019 115 $4K
2023 87 $5K
2024 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0210 Intraoral - complete series of radiographic images 53 53 $4K
D0150 Comprehensive oral evaluation - new or established patient 73 72 $3K
D1110 Prophylaxis - adult 68 68 $3K
D0120 Periodic oral evaluation - established patient 61 60 $2K
D1208 Topical application of fluoride, excluding varnish 12 12 $300.00