Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BELLEROSE › HILLSIDE FAMILY DENTAL CARE, P.C.

HILLSIDE FAMILY DENTAL CARE, P.C.

NPI: 1083829998 · BELLEROSE, NY 11426 · Dentist · NPI assigned 05/14/2007

$16K
Total Medicaid Paid
1,268
Total Claims
1,265
Beneficiaries
5
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLEVINE, SUSAN (DENTIST)
NPI Enumeration Date05/14/2007

Related Entities

Other providers sharing the same authorized official: LEVINE, SUSAN

ProviderCityStateTotal Paid
LOWELL COMMUNITY HEALTH CENTER, INC. LOWELL MA $86.80M
LOWELL COMMUNITY HEALTH CENTER, INC. LOWELL MA $2.97M
LOWELL COMMUNITY HEALTH CENTER, INC. LOWELL MA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $76.80
2021 171 $2K
2022 270 $3K
2023 332 $4K
2024 483 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 169 169 $6K
D0274 Bitewings - four radiographic images 251 251 $5K
D0220 Intraoral - periapical first radiographic image 446 445 $3K
D0230 Intraoral - periapical each additional radiographic image 352 350 $2K
D0120 Periodic oral evaluation - established patient 50 50 $980.00