Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › STATEN ISLAND › ELDRIDGE DENTAL CARE, P.C.

ELDRIDGE DENTAL CARE, P.C.

NPI: 1164576575 · STATEN ISLAND, NY 10302 · General Practice Dentistry · NPI assigned 01/23/2007

$43K
Total Medicaid Paid
2,211
Total Claims
2,210
Beneficiaries
5
Codes Billed
2018-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialVOLOTSENKO, DMITRIY (VICE PRESIDENT)
NPI Enumeration Date01/23/2007

Related Entities

Other providers sharing the same authorized official: VOLOTSENKO, DMITRIY

ProviderCityStateTotal Paid
FRANKEL WOODS DENTAL, P.C. BROOKLYN NY $10.17M
YES DENTAL OF NY, PLLC NEW YORK NY $1.66M
MY DENTIST, P.C. BROOKLYN NY $283K
FRIENDLY DENTAL CARE, P.C. BROOKLYN NY $226K
PERFECT DENTAL CARE, P.C. BROOKLYN NY $113K
ELDRIDGE DENTAL CARE P.C. STATEN ISLAND NY $91K
86 STREET DENTAL PC BROOKLYN NY $60K
DV DENTAL PC NEW YORK NY $47K
AVE A DENTAL PC NEW YORK NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $864.20
2019 39 $790.50
2020 54 $1K
2021 493 $8K
2022 438 $9K
2023 810 $15K
2024 336 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 1,277 1,276 $25K
D1110 Prophylaxis - adult 206 206 $7K
D0210 Intraoral - complete series of radiographic images 198 198 $4K
D0230 Intraoral - periapical each additional radiographic image 270 270 $4K
D0220 Intraoral - periapical first radiographic image 260 260 $2K