125TH ST. DENTAL GROUP, PLLC
NPI: 1134561137
· NEW YORK, NY 10027
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 07/19/2013
$500K
Total Medicaid Paid
Provider Details
| Authorized Official | KUNCIO, DANIEL (MEMBER) |
| NPI Enumeration Date | 07/19/2013 |
Related Entities
Other providers sharing the same authorized official: KUNCIO, DANIEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
456 |
$72K |
| 2019 |
434 |
$58K |
| 2020 |
603 |
$67K |
| 2021 |
493 |
$69K |
| 2022 |
805 |
$96K |
| 2023 |
734 |
$99K |
| 2024 |
213 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
Periodic orthodontic treatment visit |
2,101 |
2,066 |
$461K |
| D0330 |
Panoramic radiographic image |
373 |
372 |
$11K |
| D0340 |
|
273 |
272 |
$10K |
| D8660 |
|
298 |
294 |
$9K |
| D0350 |
|
516 |
514 |
$5K |
| D0470 |
|
177 |
176 |
$5K |