Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › ROCHESTER › TWELVE CORNERS DENTISTRY PLLC

TWELVE CORNERS DENTISTRY PLLC

NPI: 1023551173 · ROCHESTER, NY 14618 · Dentist · NPI assigned 11/22/2016

$69K
Total Medicaid Paid
2,563
Total Claims
2,562
Beneficiaries
7
Codes Billed
2021-07
First Month
2023-08
Last Month

Provider Details

Authorized OfficialCAROCI, ABRAHIM (OWNER)
NPI Enumeration Date11/22/2016

Related Entities

Other providers sharing the same authorized official: CAROCI, ABRAHIM

ProviderCityStateTotal Paid
TC GREECE PEDIATRIC DENTISTRY PLLC GREECE NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 509 $14K
2022 1,270 $33K
2023 784 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 812 812 $33K
D0120 Periodic oral evaluation - established patient 793 793 $21K
D1208 Topical application of fluoride, excluding varnish 840 839 $11K
D0274 Bitewings - four radiographic images 60 60 $2K
D0330 Panoramic radiographic image 15 15 $570.00
D0150 Comprehensive oral evaluation - new or established patient 16 16 $440.80
D0272 Bitewings - two radiographic images 27 27 $419.90