Medicaid Provider Spending

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

DR. FERNANDEZ DENTAL OFFICE

NPI: 1134372196 · RIDGEWOOD, NY 11385 · General Practice Dentistry · NPI assigned 11/03/2008

$14K
Total Medicaid Paid
933
Total Claims
924
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-07
Last Month

Provider Details

Authorized OfficialFERNANDEZ, FRANKLIN (GENERAL DENTIST)
NPI Enumeration Date11/03/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 933 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 126 126 $4K
D0120 Periodic oral evaluation - established patient 181 180 $3K
D0274 Bitewings - four radiographic images 158 157 $3K
D0220 Intraoral - periapical first radiographic image 201 195 $2K
D0230 Intraoral - periapical each additional radiographic image 177 177 $760.80
D1208 Topical application of fluoride, excluding varnish 71 70 $736.80
D1120 Prophylaxis - child 19 19 $551.20