Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › CORONA › CORONA 26 MEDICAL & DENTAL MANAGEMENT PLLC

CORONA 26 MEDICAL & DENTAL MANAGEMENT PLLC

NPI: 1326807025 · CORONA, NY 11368 · Dental Clinic/Center · NPI assigned 03/15/2024

$1K
Total Medicaid Paid
42
Total Claims
42
Beneficiaries
3
Codes Billed
2024-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPITKOUVICH, ALICIA (MANAGER)
NPI Enumeration Date03/15/2024

Related Entities

Other providers sharing the same authorized official: PITKOUVICH, ALICIA

ProviderCityStateTotal Paid
CORONA 26 DENTAL GROUP CORONA NY $2.99M
AUSTIN 26 DENTAL GROUP PLLC FOREST HILLS NY $527K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 42 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 13 13 $420.11
D9990 17 17 $374.00
D0120 Periodic oral evaluation - established patient 12 12 $250.60