Medicaid Provider Spending

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

JOHN T GORDON D.D.S., P.C.

NPI: 1033657325 · ISLIP TERRACE, NY 11752 · Dental Clinic/Center · NPI assigned 02/07/2017

$1K
Total Medicaid Paid
89
Total Claims
88
Beneficiaries
3
Codes Billed
2018-04
First Month
2018-09
Last Month

Provider Details

Authorized OfficialGORDON, JOHN (PRESIDENT)
NPI Enumeration Date02/07/2017

Related Entities

Other providers sharing the same authorized official: GORDON, JOHN

ProviderCityStateTotal Paid
GORDON & SALTER CHARTERED RICHMOND KY $56K
JOHN H GORDON DO LLC DOTHAN AL $744.88

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 24 24 $832.40
D0220 Intraoral - periapical first radiographic image 40 40 $361.30
D0230 Intraoral - periapical each additional radiographic image 25 24 $164.90