STATEN ISLAND PEDIATRIC DENTISTRY
NPI: 1053509687
· STATEN ISLAND, NY 10314
· 1223P0221X
$3.47M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,798 |
$514K |
| 2019 |
11,549 |
$606K |
| 2020 |
11,102 |
$513K |
| 2021 |
13,315 |
$683K |
| 2022 |
13,297 |
$686K |
| 2023 |
9,023 |
$433K |
| 2024 |
1,079 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,195 |
3,767 |
$624K |
| D0274 |
|
12,969 |
12,969 |
$581K |
| D0120 |
|
13,821 |
13,821 |
$520K |
| D7140 |
|
2,289 |
2,119 |
$357K |
| D2391 |
|
2,587 |
2,387 |
$349K |
| D1120 |
|
10,502 |
10,502 |
$318K |
| D1208 |
|
14,325 |
14,325 |
$261K |
| D1110 |
|
4,166 |
4,166 |
$126K |
| D1351 |
|
1,050 |
804 |
$123K |
| D9110 |
|
807 |
793 |
$44K |
| D2393 |
|
315 |
277 |
$42K |
| D2930 |
|
257 |
242 |
$41K |
| D3220 |
|
292 |
277 |
$40K |
| D0150 |
|
621 |
621 |
$18K |
| D0330 |
|
149 |
149 |
$10K |
| D0220 |
|
409 |
394 |
$7K |
| D1206 |
|
182 |
182 |
$5K |
| D9230 |
|
119 |
110 |
$4K |
| D0140 |
|
47 |
47 |
$2K |
| D9995 |
|
44 |
44 |
$1K |
| D0210 |
|
17 |
16 |
$373.75 |