GOLDBERG DENTAL OF VALLEY STREAM PC
NPI: 1003935040
· VALLEY STREAM, NY 11580
· Dentist
· NPI assigned 03/29/2007
$130K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GOLDBERG, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
326 |
$4K |
| 2019 |
563 |
$9K |
| 2020 |
962 |
$13K |
| 2021 |
1,423 |
$21K |
| 2022 |
2,013 |
$38K |
| 2023 |
1,338 |
$29K |
| 2024 |
746 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,287 |
1,287 |
$50K |
| D0120 |
Periodic oral evaluation - established patient |
1,407 |
1,406 |
$29K |
| D0274 |
Bitewings - four radiographic images |
1,236 |
1,236 |
$25K |
| D0220 |
Intraoral - periapical first radiographic image |
1,952 |
1,931 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,365 |
1,359 |
$7K |
| D9110 |
|
63 |
63 |
$875.87 |
| D1999 |
|
61 |
56 |
$0.00 |