Medicaid Provider Spending

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

PEARL DENTAL PC.

NPI: 1235303389 · YONKERS, NY 10705 · General Practice Dentistry · NPI assigned 04/19/2008

$70K
Total Medicaid Paid
2,802
Total Claims
2,802
Beneficiaries
7
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHOMAS, JOHN (DENTIST)
NPI Enumeration Date04/19/2008

Related Entities

Other providers sharing the same authorized official: THOMAS, JOHN

ProviderCityStateTotal Paid
PIKE COUNTY SCHOOL CORP PETERSBURG IN $302K
THOMAS LI CONSULTING LLC LAFAYETTE IN $152K
COMPLETE HOME CARE SERVICES, LLC COLUMBIA SC $86K
SURGICAL CLINIC PC OPELIKA AL $65K
NORTHEAST HAND SPECIALISTS LLC ASTORIA NY $2K
COLUMBUS CARDIOVASCULAR AND THORACIC SURGERY INC COLUMBUS OH $2K
SOLUTIONS MEDICAL GROUP PLLC HOUSTON TX $1K
J&J AMBULETTE SERVICE, LLC DISPUTANTA VA $1K
COUNTY OF ISLAND COUPEVILLE WA $364.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $295.80
2019 31 $643.37
2020 318 $8K
2021 69 $2K
2022 871 $21K
2023 1,250 $31K
2024 251 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 719 719 $29K
D0120 Periodic oral evaluation - established patient 916 916 $19K
D0210 Intraoral - complete series of radiographic images 301 301 $10K
D0274 Bitewings - four radiographic images 206 206 $4K
D0220 Intraoral - periapical first radiographic image 336 336 $3K
D0230 Intraoral - periapical each additional radiographic image 270 270 $3K
D0150 Comprehensive oral evaluation - new or established patient 54 54 $1K