Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › OSSINING › OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

NPI: 1073919973 · OSSINING, NY 10562 · Federally Qualified Health Center (FQHC) · NPI assigned 11/05/2014

$219K
Total Medicaid Paid
6,809
Total Claims
1,131
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-02
Last Month

Provider Details

Authorized OfficialMAZZOTTA, MARIA (CFO)
Parent OrganizationOPEN DOOR FAMILY MEDICAL CENTERS, INC
NPI Enumeration Date11/05/2014

Related Entities

Other providers sharing the same authorized official: MAZZOTTA, MARIA

ProviderCityStateTotal Paid
OPEN DOOR FAMILY MEDICAL CENTER, INC. BREWSTER NY $2.08M
OPEN DOOR FAMILY MEDICAL CENTER INC SAUGERTIES NY $341K
OPEN DOOR FAMILY MEDICAL CENTER, INC. MOUNT KISCO NY $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,032 $97K
2019 3,147 $109K
2020 551 $13K
2021 79 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 5,538 842 $168K
D1110 Prophylaxis - adult 776 113 $23K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 210 97 $19K
D2391 Resin-based composite - one surface, posterior, primary or permanent 74 41 $8K
D0120 Periodic oral evaluation - established patient 158 25 $0.00
D0150 Comprehensive oral evaluation - new or established patient 53 13 $0.00