Medicaid Provider Spending

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

WASHINGTON FAMILY DENTAL P.C.

NPI: 1255540878 · ENDICOTT, NY 13760 · General Practice Dentistry · NPI assigned 05/21/2007

$15K
Total Medicaid Paid
405
Total Claims
402
Beneficiaries
7
Codes Billed
2018-10
First Month
2022-02
Last Month

Provider Details

Authorized OfficialRAMOS, GUILLERMO (PRESIDENT)
NPI Enumeration Date05/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $377.00
2021 348 $13K
2022 44 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 115 115 $6K
D0274 Bitewings - four radiographic images 188 188 $6K
D0120 Periodic oral evaluation - established patient 37 37 $988.90
D0330 Panoramic radiographic image 12 12 $448.40
D0220 Intraoral - periapical first radiographic image 27 24 $401.26
D9110 14 14 $384.82
D0150 Comprehensive oral evaluation - new or established patient 12 12 $346.50