RADEMACHER, DIANE
NPI: 1104806587
· BALLSTON SPA, NY 12020
· General Practice Dentistry
· NPI assigned 01/20/2006
$304K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,421 |
$51K |
| 2019 |
1,207 |
$43K |
| 2020 |
1,226 |
$44K |
| 2021 |
1,275 |
$44K |
| 2022 |
1,478 |
$52K |
| 2023 |
1,276 |
$45K |
| 2024 |
747 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,251 |
3,248 |
$156K |
| D0120 |
Periodic oral evaluation - established patient |
3,544 |
3,540 |
$91K |
| D0274 |
Bitewings - four radiographic images |
1,579 |
1,577 |
$40K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
212 |
162 |
$16K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
44 |
37 |
$2K |