NOSTRAND DENTAL CARE PC
NPI: 1184730558
· BROOKLYN, NM 11216
· Dentist
· NPI assigned 08/21/2006
$456K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,887 |
$48K |
| 2019 |
1,660 |
$39K |
| 2020 |
1,833 |
$48K |
| 2021 |
3,256 |
$83K |
| 2022 |
2,884 |
$62K |
| 2023 |
4,625 |
$94K |
| 2024 |
3,782 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,331 |
1,527 |
$210K |
| D1110 |
Prophylaxis - adult |
2,334 |
2,327 |
$77K |
| D0120 |
Periodic oral evaluation - established patient |
3,566 |
3,553 |
$68K |
| D0274 |
Bitewings - four radiographic images |
2,849 |
2,848 |
$52K |
| D0220 |
Intraoral - periapical first radiographic image |
3,485 |
3,478 |
$31K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,318 |
3,314 |
$17K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$400.81 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
30 |
$341.10 |