PICASSO AESTHETIC AND COSMETIC DENTAL SPA PA
NPI: 1205182276
· FORT MYERS, FL 33919
· General Practice Dentistry
· NPI assigned 07/27/2012
$1.77M
Total Medicaid Paid
Provider Details
| Authorized Official | RUBIN, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 07/27/2012 |
Related Entities
Other providers sharing the same authorized official: RUBIN, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
170 |
$3K |
| 2019 |
649 |
$641K |
| 2020 |
383 |
$64K |
| 2023 |
2,573 |
$761K |
| 2024 |
980 |
$296K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 21215 |
|
882 |
715 |
$1.19M |
| 21210 |
|
758 |
581 |
$455K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,231 |
585 |
$74K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
551 |
542 |
$31K |
| D7140 |
Extraction, erupted tooth or exposed root |
175 |
82 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
158 |
157 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
61 |
61 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
764 |
754 |
$2K |
| 70320 |
|
40 |
40 |
$1K |
| D0272 |
Bitewings - two radiographic images |
97 |
97 |
$0.00 |