Medicaid Provider Spending

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

UNIVERSITY DENTAL FACULTY PRACTICE GROUP

NPI: 1306929013 · ROCHESTER, NY 14618 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/24/2006

$627K
Total Medicaid Paid
7,544
Total Claims
4,189
Beneficiaries
18
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEVY, DAVID (MEDICAL DIRECTOR)
NPI Enumeration Date10/24/2006

Related Entities

Other providers sharing the same authorized official: LEVY, DAVID

ProviderCityStateTotal Paid
EISENHOWER HEALTHCARE, LLC PASADENA CA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $2K
2019 127 $9K
2020 41 $4K
2021 122 $16K
2022 12 $2K
2023 12 $319.00
2024 7,204 $594K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 2,957 469 $349K
D7140 845 240 $107K
D9420 598 598 $51K
D3220 340 131 $30K
D1120 565 565 $20K
D0120 736 736 $19K
D0272 502 502 $10K
D1206 355 355 $10K
99202 127 127 $9K
99204 51 51 $7K
99203 67 67 $6K
D9310 64 64 $4K
D1351 71 24 $3K
D0220 126 126 $2K
D0230 57 57 $730.30
D1208 51 51 $645.00
D0240 20 14 $272.00
D9995 12 12 $0.00