MADDALENA, GREGORY
NPI: 1033319066
· BEACON, NY 12508
· General Practice Dentistry
· NPI assigned 07/18/2007
$188.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
89 |
$130.00 |
| 2021 |
46 |
$58.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$58.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$58.00 |
| D0120 |
Periodic oral evaluation - established patient |
59 |
59 |
$58.00 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$14.00 |
| D1999 |
|
18 |
18 |
$0.00 |