Medicaid Provider Spending

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

EMINENT DENTAL CARE P.C.

NPI: 1013473339 · LITTLE NECK, NY 11362 · General Practice Dentistry · NPI assigned 02/11/2019

$40K
Total Medicaid Paid
2,354
Total Claims
2,354
Beneficiaries
7
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTAMMA, ARIEL (DENTIST)
NPI Enumeration Date02/11/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $696.95
2021 24 $493.38
2022 106 $1K
2023 900 $15K
2024 1,300 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 413 413 $15K
D0120 Periodic oral evaluation - established patient 555 555 $11K
D0274 Bitewings - four radiographic images 339 339 $7K
D0220 Intraoral - periapical first radiographic image 459 459 $4K
D0230 Intraoral - periapical each additional radiographic image 413 413 $3K
D0210 Intraoral - complete series of radiographic images 162 162 $201.23
D1208 Topical application of fluoride, excluding varnish 13 13 $142.90