Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MANHASSET › KIDDSMILES PLLC

KIDDSMILES PLLC

NPI: 1073729794 · MANHASSET, NY 11030 · Dental Clinic/Center · NPI assigned 05/16/2007

$10K
Total Medicaid Paid
301
Total Claims
300
Beneficiaries
7
Codes Billed
2018-05
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSAVEL, MICHELE (SR DENTIST)
NPI Enumeration Date05/16/2007

Related Entities

Other providers sharing the same authorized official: SAVEL, MICHELE

ProviderCityStateTotal Paid
KIDDSMILES PEDIATRIC DENTISTRY PLLC 6 WHITE PLAINS NY $2.61M
KIDDSMILES PEDIATRIC DENTRISTRY 5PLLC SYOSSET NY $1.40M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $2K
2019 128 $5K
2020 119 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 154 154 $7K
D0120 Periodic oral evaluation - established patient 40 40 $1K
D1206 Topical application of fluoride varnish 27 27 $703.80
D0150 Comprehensive oral evaluation - new or established patient 17 17 $563.55
D1208 Topical application of fluoride, excluding varnish 25 25 $386.75
D0272 Bitewings - two radiographic images 13 13 $244.27
D1999 25 24 $0.00