NY METRO DENTAL, PC
NPI: 1144854431
· BRONX, NY 10467
· Dentist
· NPI assigned 02/26/2020
$753K
Total Medicaid Paid
Provider Details
| Authorized Official | CADIEUX, AMY (REG MGR) |
| Parent Organization | NY METRO DENTAL, PC |
| NPI Enumeration Date | 02/26/2020 |
Related Entities
Other providers sharing the same authorized official: CADIEUX, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
615 |
$8K |
| 2021 |
3,665 |
$75K |
| 2022 |
3,479 |
$86K |
| 2023 |
4,551 |
$194K |
| 2024 |
5,406 |
$390K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2752 |
|
618 |
316 |
$262K |
| D1110 |
Prophylaxis - adult |
2,848 |
2,848 |
$115K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
227 |
207 |
$95K |
| D0274 |
Bitewings - four radiographic images |
2,529 |
2,529 |
$56K |
| D9310 |
|
893 |
893 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
1,975 |
1,975 |
$43K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,515 |
1,514 |
$37K |
| D0330 |
Panoramic radiographic image |
1,088 |
1,088 |
$32K |
| D0220 |
Intraoral - periapical first radiographic image |
2,058 |
2,058 |
$23K |
| D0210 |
Intraoral - complete series of radiographic images |
1,289 |
1,289 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,872 |
1,872 |
$12K |
| D3320 |
|
18 |
16 |
$6K |
| D2954 |
|
20 |
12 |
$2K |
| D1999 |
|
766 |
741 |
$0.00 |