Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW ROCHELLE › WALK IN FAMILY DENTAL OFF.

WALK IN FAMILY DENTAL OFF.

NPI: 1295109924 · NEW ROCHELLE, NY 10801 · Dentist · NPI assigned 11/18/2015

$770.38
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
2
Codes Billed
2020-08
First Month
2021-10
Last Month

Provider Details

Authorized OfficialDIAZ, VERONICA (GENERAL DENTIST)
NPI Enumeration Date11/18/2015

Related Entities

Other providers sharing the same authorized official: DIAZ, VERONICA

ProviderCityStateTotal Paid
P&R EXECUTIVE DENTAL MANAGEMENT INC NEW YORK NY $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $504.18
2021 12 $266.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 28 28 $596.35
D0230 Intraoral - periapical each additional radiographic image 12 12 $174.03