NEW BALTIMORE FAMILY DENTISTRY, LLP
NPI: 1174944243
· WEST COXSACKIE, NY 12192
· General Practice Dentistry
· NPI assigned 12/17/2013
$681K
Total Medicaid Paid
Provider Details
| Authorized Official | PLASS, LISA (OFFICE MANAGER) |
| NPI Enumeration Date | 12/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,711 |
$140K |
| 2019 |
5,437 |
$207K |
| 2020 |
5,660 |
$209K |
| 2021 |
2,569 |
$81K |
| 2022 |
796 |
$29K |
| 2023 |
182 |
$13K |
| 2024 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,847 |
3,845 |
$201K |
| D2392 |
|
981 |
729 |
$89K |
| D0120 |
|
3,317 |
3,316 |
$87K |
| D0210 |
|
1,308 |
1,303 |
$62K |
| D0274 |
|
1,600 |
1,600 |
$45K |
| D1120 |
|
1,016 |
1,016 |
$42K |
| D0150 |
|
991 |
990 |
$32K |
| D1208 |
|
1,744 |
1,744 |
$27K |
| D2391 |
|
424 |
311 |
$25K |
| D0230 |
|
1,698 |
1,693 |
$17K |
| D7140 |
|
249 |
150 |
$16K |
| D2393 |
|
130 |
99 |
$13K |
| D0220 |
|
757 |
756 |
$10K |
| D7210 |
|
69 |
54 |
$7K |
| D0330 |
|
147 |
147 |
$6K |
| D2330 |
|
16 |
13 |
$812.60 |
| D0272 |
|
46 |
46 |
$768.74 |
| D0140 |
|
42 |
41 |
$607.00 |