Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › SOUTH OZONE PARK › CONCERNED DENTAL CARE, PC

CONCERNED DENTAL CARE, PC

NPI: 1144235359 · SOUTH OZONE PARK, NY 11420 · Dentist · NPI assigned 07/29/2006

$3K
Total Medicaid Paid
127
Total Claims
127
Beneficiaries
5
Codes Billed
2018-06
First Month
2018-12
Last Month

Provider Details

Authorized OfficialRUBIN, KENNETH (OWNER)
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: RUBIN, KENNETH

ProviderCityStateTotal Paid
CONCERNED DENTAL CARE, PC NEW YORK NY $118K
CONCERNED DENTAL CARE, PC SOUTH RICHMOND HILL NY $25K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 127 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 29 29 $1K
D0274 Bitewings - four radiographic images 20 20 $463.70
D0220 Intraoral - periapical first radiographic image 33 33 $355.20
D0120 Periodic oral evaluation - established patient 12 12 $280.35
D0230 Intraoral - periapical each additional radiographic image 33 33 $274.65