Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WESTERN ISLAND DENTAL CARE PLLC

NPI: 1184235939 · EAST MEADOW, NY 11554 · General Practice Dentistry · NPI assigned 08/14/2020

$5K
Total Medicaid Paid
243
Total Claims
241
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKATSMAN, VICTOR (OWNER)
Parent OrganizationWESTERN ISLAND DENTAL CARE (DENTAL SPECIALISTS OF EAST MEADOW)
NPI Enumeration Date08/14/2020

Related Entities

Other providers sharing the same authorized official: KATSMAN, VICTOR

ProviderCityStateTotal Paid
COMMACK DENTAL CARE PLLC COMMACK NY $396K
DENTAL ARTS OF LINDENHURST LINDENHURST NY $387K
YOUR SMILE DENTAL OF FREEPORT PLLC FREEPORT NY $265K
MIDDLE ISLAND DENTAL CARE PLLC SELDEN NY $207K
DENTAL ARTS OF LINDENHURST COMMACK NY $45K
WESTERN ISLAND DENTAL CARE PLLC EAST MEADOW NY $6K
DR VICTOR KATSMAN DDS PLLC YONKERS NY $379.02

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 243 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 95 95 $3K
D0150 Comprehensive oral evaluation - new or established patient 46 46 $1K
D0120 Periodic oral evaluation - established patient 25 25 $515.51
D0220 Intraoral - periapical first radiographic image 63 61 $446.85
D0230 Intraoral - periapical each additional radiographic image 14 14 $74.60