Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › OCEANSIDE › PETERSON DENTAL PC

PETERSON DENTAL PC

NPI: 1114477692 · OCEANSIDE, NY 11572 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/10/2016

$17K
Total Medicaid Paid
268
Total Claims
248
Beneficiaries
1
Codes Billed
2018-10
First Month
2021-03
Last Month

Provider Details

Authorized OfficialPETERSON, JOHN (OFFICER)
NPI Enumeration Date10/10/2016

Related Entities

Other providers sharing the same authorized official: PETERSON, JOHN

ProviderCityStateTotal Paid
MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY CHARLOTTE NC $33.68M
FOOT & ANKLE SPECIALISTS OF IDAHO, P.C. IDAHO FALLS ID $5K
ADVANCED DENTAL TECHNOLOGIES COR OCEANSIDE NY $396.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $645.10
2019 45 $3K
2020 171 $11K
2021 40 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 268 248 $17K