Medicaid Provider Spending

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

SHORELINE DENTAL LLC

NPI: 1053184739 · OCEAN, NJ 07712 · Dental Clinic/Center · NPI assigned 11/03/2023

$18K
Total Medicaid Paid
187
Total Claims
171
Beneficiaries
5
Codes Billed
2024-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCATTANESE, FRANK (PRESIDENT)
NPI Enumeration Date11/03/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 187 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2751 Crown - porcelain fused to predominantly base metal 39 25 $14K
D0150 Comprehensive oral evaluation - new or established patient 78 77 $2K
D0210 Intraoral - complete series of radiographic images 41 41 $1K
D1110 Prophylaxis - adult 16 15 $363.00
D0330 Panoramic radiographic image 13 13 $96.80