Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › BAYONNE › PAULANTO DENTAL CLINIC CORP

PAULANTO DENTAL CLINIC CORP

NPI: 1134740707 · BAYONNE, NJ 07002 · Dental Clinic/Center · NPI assigned 05/05/2020

$26K
Total Medicaid Paid
3,685
Total Claims
2,669
Beneficiaries
7
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDIMITREY, PAUL (PRESIDENT)
NPI Enumeration Date05/05/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 187 $4K
2021 387 $5K
2022 1,202 $7K
2023 1,289 $7K
2024 620 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 454 446 $7K
D0120 447 438 $7K
D0150 131 131 $3K
D0230 1,456 512 $3K
D0220 690 653 $2K
D0274 447 429 $2K
D0210 60 60 $2K