Medicaid Provider Spending

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

CORONA DENTAL OFFICE, PC

NPI: 1063797009 · CORONA, NY 11368 · General Practice Dentistry · NPI assigned 10/20/2011

$20K
Total Medicaid Paid
829
Total Claims
829
Beneficiaries
6
Codes Billed
2018-05
First Month
2023-05
Last Month

Provider Details

Authorized OfficialRAMIREZ, WASCAR (OWNER)
NPI Enumeration Date10/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $325.00
2019 24 $226.00
2020 55 $1K
2021 235 $6K
2022 451 $11K
2023 51 $904.25

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 225 225 $10K
D0120 Periodic oral evaluation - established patient 151 151 $3K
D0274 Bitewings - four radiographic images 136 136 $3K
D0220 Intraoral - periapical first radiographic image 253 253 $3K
D0230 Intraoral - periapical each additional radiographic image 39 39 $434.00
D1208 Topical application of fluoride, excluding varnish 25 25 $294.00