Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › STATEN ISLAND › GIFFORDS DENTAL, P.C.

GIFFORDS DENTAL, P.C.

NPI: 1093295735 · STATEN ISLAND, NY 10308 · Periodontist · NPI assigned 08/21/2018

$2K
Total Medicaid Paid
134
Total Claims
133
Beneficiaries
7
Codes Billed
2020-08
First Month
2022-02
Last Month

Provider Details

Authorized OfficialCISTERNAS, STEVEN (PRESIDENT)
NPI Enumeration Date08/21/2018

Related Entities

Other providers sharing the same authorized official: CISTERNAS, STEVEN

ProviderCityStateTotal Paid
BAY DENTAL AT THE POINTE, P.C. STATEN ISLAND NY $140K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $76.80
2021 72 $1K
2022 50 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 27 27 $900.00
D0330 Panoramic radiographic image 26 26 $616.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $288.00
D0120 Periodic oral evaluation - established patient 12 12 $240.00
D0220 Intraoral - periapical first radiographic image 29 28 $134.40
D0274 Bitewings - four radiographic images 14 14 $57.60
D0230 Intraoral - periapical each additional radiographic image 14 14 $28.00