Medicaid Provider Spending

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

SONRISA DENTAL SPA LLC

NPI: 1114517851 · ELIZABETH, NJ 07201 · Dentist · NPI assigned 01/26/2021

$0.00
Total Medicaid Paid
1,252
Total Claims
1,219
Beneficiaries
9
Codes Billed
2021-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELDIN, KHALED (OWNER)
NPI Enumeration Date01/26/2021

Related Entities

Other providers sharing the same authorized official: ELDIN, KHALED

ProviderCityStateTotal Paid
SADDLE BROOK DENTAL ASSOCIATE SADDLE BROOK NJ $2.26M
OLD BRIDGE DENTAL CENTER OLD BRIDGE NJ $994K
RIDGEFIELD PARK FAMILY DENTAL LLC RIDGEFIELD PARK NJ $825K
JERSEY SHORE DENTAL CENTER NEPTUNE NJ $458K
PISCATAWAY DENTAL GROUP LLC PISCATAWAY NJ $106K
WOODLAND PARK DENTAL CENTERS WOODLAND PARK NJ $61K
NEW JERSEY DENTAL ASSOCIATE FORT LEE NJ $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $0.00
2022 351 $0.00
2023 399 $0.00
2024 488 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 265 263 $0.00
D0230 Intraoral - periapical each additional radiographic image 89 86 $0.00
D0120 Periodic oral evaluation - established patient 78 77 $0.00
D0210 Intraoral - complete series of radiographic images 92 91 $0.00
D0140 Limited oral evaluation - problem focused 13 12 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 13 $0.00
D0274 Bitewings - four radiographic images 93 88 $0.00
D1110 Prophylaxis - adult 431 424 $0.00
D0220 Intraoral - periapical first radiographic image 171 165 $0.00