ROOSEVELT 26 DENTISTRY P.C.
NPI: 1114237518
· CORONA, NY 11368
· 1223G0001X
$710K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,198 |
$50K |
| 2019 |
5,120 |
$83K |
| 2020 |
5,737 |
$105K |
| 2021 |
6,875 |
$122K |
| 2022 |
7,938 |
$151K |
| 2023 |
6,941 |
$134K |
| 2024 |
3,573 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
6,136 |
6,133 |
$213K |
| D0120 |
|
8,061 |
8,056 |
$160K |
| D0274 |
|
5,045 |
5,044 |
$94K |
| D0220 |
|
7,910 |
7,898 |
$71K |
| D0230 |
|
8,319 |
8,304 |
$70K |
| D2392 |
|
334 |
250 |
$19K |
| D2391 |
|
452 |
332 |
$18K |
| D1120 |
|
495 |
494 |
$15K |
| D7210 |
|
229 |
138 |
$13K |
| D0210 |
|
795 |
795 |
$13K |
| D1208 |
|
552 |
552 |
$6K |
| D0140 |
|
566 |
563 |
$6K |
| D9990 |
|
254 |
247 |
$5K |
| D2394 |
|
29 |
26 |
$2K |
| D0330 |
|
46 |
46 |
$1K |
| D1320 |
|
99 |
99 |
$784.00 |
| D1999 |
|
15 |
15 |
$750.00 |
| D9310 |
|
18 |
18 |
$617.16 |
| D0270 |
|
27 |
27 |
$228.60 |