SOUTH CENTRAL DENTAL IMPLANT PLLC
NPI: 1144767773
· VALLEY STREAM, NY 11580
· 122300000X
$2.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,385 |
$90K |
| 2019 |
1,373 |
$84K |
| 2020 |
3,814 |
$179K |
| 2021 |
6,774 |
$415K |
| 2022 |
6,493 |
$360K |
| 2023 |
10,923 |
$793K |
| 2024 |
10,026 |
$1.06M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2750 |
|
1,955 |
795 |
$717K |
| D2393 |
|
6,087 |
3,235 |
$623K |
| D2394 |
|
5,931 |
1,597 |
$431K |
| D2335 |
|
3,433 |
1,271 |
$277K |
| D2332 |
|
2,069 |
1,195 |
$203K |
| D1110 |
|
3,353 |
3,328 |
$129K |
| D2392 |
|
1,528 |
1,190 |
$117K |
| D2954 |
|
932 |
608 |
$85K |
| D0150 |
|
2,620 |
2,604 |
$58K |
| D2391 |
|
1,301 |
1,026 |
$54K |
| D0274 |
|
2,247 |
2,237 |
$49K |
| D0330 |
|
2,023 |
2,012 |
$47K |
| D7210 |
|
723 |
447 |
$39K |
| D0210 |
|
2,076 |
2,027 |
$29K |
| D0120 |
|
1,391 |
1,387 |
$29K |
| D3330 |
|
111 |
88 |
$27K |
| D7240 |
|
103 |
56 |
$20K |
| D2331 |
|
229 |
136 |
$14K |
| D0220 |
|
1,060 |
1,039 |
$11K |
| D3320 |
|
57 |
43 |
$11K |
| D0140 |
|
409 |
362 |
$4K |
| D0230 |
|
706 |
701 |
$4K |
| D0272 |
|
190 |
189 |
$2K |
| D1208 |
|
171 |
170 |
$2K |
| D4341 |
|
43 |
13 |
$2K |
| D1120 |
|
26 |
26 |
$772.51 |
| D7450 |
|
14 |
13 |
$0.00 |