GOLD COAST DENTAL
NPI: 1093179574
· POUGHKEEPSIE, NY 12603
· Dentist
· NPI assigned 04/11/2016
$101K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
111 |
$2K |
| 2019 |
234 |
$5K |
| 2021 |
386 |
$8K |
| 2022 |
1,430 |
$35K |
| 2023 |
1,121 |
$33K |
| 2024 |
726 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
650 |
650 |
$35K |
| D0274 |
Bitewings - four radiographic images |
852 |
852 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
475 |
475 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
980 |
979 |
$13K |
| D2332 |
|
82 |
13 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
918 |
918 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$1K |