SWEET TOOTH DENTAL
NPI: 1053859652
· BALDWIN, NY 11510
· Dentist
· NPI assigned 02/03/2017
$113K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$154.00 |
| 2019 |
143 |
$2K |
| 2020 |
539 |
$11K |
| 2021 |
733 |
$19K |
| 2022 |
927 |
$21K |
| 2023 |
1,061 |
$24K |
| 2024 |
1,403 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9944 |
|
297 |
297 |
$32K |
| D1110 |
Prophylaxis - adult |
653 |
653 |
$28K |
| D0274 |
Bitewings - four radiographic images |
794 |
794 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
733 |
733 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,030 |
1,020 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
858 |
858 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
212 |
212 |
$2K |
| D0350 |
|
192 |
192 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$450.24 |
| D1999 |
|
20 |
19 |
$0.00 |
| D1330 |
|
17 |
17 |
$0.00 |