Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › HICKSVILLE › BROADWAY MALL DENTAL

BROADWAY MALL DENTAL

NPI: 1225183551 · HICKSVILLE, NY 11801 · 122300000X

$75K
Total Medicaid Paid
2,793
Total Claims
2,740
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196 $5K
2023 1,326 $38K
2024 1,271 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 552 552 $26K
D0210 600 600 $13K
D0120 469 469 $11K
D0230 470 470 $10K
D2392 114 61 $7K
D0220 501 501 $6K
D0150 50 50 $1K
D1208 25 25 $297.50
D0274 12 12 $295.80