Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROME FAMILY DENTAL SERVICE P.C.

NPI: 1114080041 · ROME, NY 13440 · Dentist · NPI assigned 12/19/2006

$14K
Total Medicaid Paid
446
Total Claims
445
Beneficiaries
8
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialBALLINI, ALBINO (PRESIDENT)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 446 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 99 99 $6K
D0120 Periodic oral evaluation - established patient 98 98 $3K
D0330 Panoramic radiographic image 71 71 $2K
D1120 Prophylaxis - child 32 32 $1K
D0140 Limited oral evaluation - problem focused 61 61 $784.00
D0274 Bitewings - four radiographic images 27 27 $783.00
D0220 Intraoral - periapical first radiographic image 33 32 $448.00
D1208 Topical application of fluoride, excluding varnish 25 25 $350.00