Medicaid Provider Spending

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

MONTROSE DENTAL PC

NPI: 1083032569 · BROOKLYN, NY 11206 · Pediatric Dentist · NPI assigned 04/02/2014

$10K
Total Medicaid Paid
283
Total Claims
283
Beneficiaries
6
Codes Billed
2018-03
First Month
2019-02
Last Month

Provider Details

Authorized OfficialDELLAPIETRA, ANDREW (OWNER)
NPI Enumeration Date04/02/2014

Related Entities

Other providers sharing the same authorized official: DELLAPIETRA, ANDREW

ProviderCityStateTotal Paid
NEIGHBORHOOD DENTAL BROOKLYN NY $2.68M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107 $8K
2019 176 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 30 30 $6K
D1110 Prophylaxis - adult 46 46 $2K
D0120 Periodic oral evaluation - established patient 52 52 $1K
D0274 Bitewings - four radiographic images 46 46 $868.30
D0220 Intraoral - periapical first radiographic image 56 56 $460.00
D0230 Intraoral - periapical each additional radiographic image 53 53 $241.50