Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MILL ROAD DENTAL CENTER PC

NPI: 1184789125 · IRVINGTON, NJ 07111 · Dentist · NPI assigned 12/27/2006

$2K
Total Medicaid Paid
105
Total Claims
105
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialAUDEYCHIK, YEUGENY (DENTIST)
NPI Enumeration Date12/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 68 68 $1K
D1110 Prophylaxis - adult 37 37 $626.00