Medicaid Provider Spending

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

NPI: 1285732685 · GREENWICH, NY 12834 · General Practice Dentistry · NPI assigned 09/20/2006

$23K
Total Medicaid Paid
621
Total Claims
601
Beneficiaries
4
Codes Billed
2018-01
First Month
2020-11
Last Month

Provider Details

Authorized OfficialLEVINE, ANDREW (OWNER)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: LEVINE, ANDREW

ProviderCityStateTotal Paid
KLETTER & LEVINE PC SARATOGA SPRINGS NY $722K
ANDREW LEVINE MD PA MCALLEN TX $584K
FALFURRIAS MEDICAL GROUP LLP FALFURRIAS TX $342K
GLOVERSVILLE FAMILY DENTISTRY,LLP GLOVERSVILLE NY $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $4K
2019 207 $10K
2020 345 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 233 232 $15K
D0120 Periodic oral evaluation - established patient 188 188 $6K
D0274 Bitewings - four radiographic images 40 40 $1K
D1999 160 141 $0.00