Medicaid Provider Spending

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

SKY DENTAL CARE LLP

NPI: 1265698625 · FOREST HILLS, NY 11375 · General Practice Dentistry · NPI assigned 08/05/2008

$23K
Total Medicaid Paid
1,571
Total Claims
1,564
Beneficiaries
6
Codes Billed
2018-03
First Month
2023-12
Last Month

Provider Details

Authorized OfficialBOSTANCI, NAYAT (OWNER/PARTNER)
NPI Enumeration Date08/05/2008

Related Entities

Other providers sharing the same authorized official: BOSTANCI, NAYAT

ProviderCityStateTotal Paid
BRENTWOOD DENTAL CARE BAY SHORE NY $946K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80 $1K
2019 270 $3K
2020 507 $8K
2021 267 $4K
2022 277 $4K
2023 170 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 170 170 $6K
D0120 Periodic oral evaluation - established patient 273 273 $6K
D0220 Intraoral - periapical first radiographic image 555 551 $5K
D0230 Intraoral - periapical each additional radiographic image 453 452 $3K
D0274 Bitewings - four radiographic images 104 104 $2K
D1999 16 14 $0.00