Medicaid Provider Spending

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

HARTLAND DENTAL CARE, PLLC

NPI: 1992262125 · HARTLAND, MI 48353 · General Practice Dentistry · NPI assigned 02/24/2019

$2K
Total Medicaid Paid
47
Total Claims
47
Beneficiary Records
3
Codes Billed
2020-08
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSESI, MICHAEL (OWNER)
NPI Enumeration Date02/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 47 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 20 20 $846.00
D0150 Comprehensive oral evaluation - new or established patient 15 15 $435.00
D0274 Bitewings - four radiographic images 12 12 $361.00