ADVANCED HYLAN DENTAL,PC
NPI: 1114062254
· STATEN ISLAND, NY 10306
· General Practice Dentistry
· NPI assigned 02/20/2007
$181K
Total Medicaid Paid
Provider Details
| Authorized Official | BERTUZZI, DIANE (PRACTICE MANAGER) |
| NPI Enumeration Date | 02/20/2007 |
Related Entities
Other providers sharing the same authorized official: BERTUZZI, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
228 |
$4K |
| 2019 |
138 |
$2K |
| 2020 |
320 |
$8K |
| 2021 |
1,738 |
$34K |
| 2022 |
2,108 |
$44K |
| 2023 |
3,047 |
$56K |
| 2024 |
1,540 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,658 |
1,657 |
$59K |
| D0274 |
Bitewings - four radiographic images |
1,311 |
1,310 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
1,061 |
1,060 |
$21K |
| D0210 |
Intraoral - complete series of radiographic images |
969 |
966 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
763 |
763 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
1,693 |
1,682 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,553 |
1,552 |
$14K |
| D2750 |
|
39 |
29 |
$13K |
| D2140 |
|
30 |
25 |
$850.42 |
| D0140 |
Limited oral evaluation - problem focused |
25 |
22 |
$250.28 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$188.90 |