Medicaid Provider Spending

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

CITY DENTAL CARE,PLLC

NPI: 1346570660 · RIDGEWOOD, NY 11385 · Dentist · NPI assigned 01/08/2010

$14K
Total Medicaid Paid
781
Total Claims
778
Beneficiaries
8
Codes Billed
2020-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialKWAPISIEWICZ, DOROTA (DENTIST)
NPI Enumeration Date01/08/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 164 $3K
2021 31 $939.83
2022 48 $891.24
2023 310 $6K
2024 228 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 196 196 $7K
D0274 Bitewings - four radiographic images 107 107 $2K
D0220 Intraoral - periapical first radiographic image 206 205 $2K
D0230 Intraoral - periapical each additional radiographic image 186 185 $2K
D0120 Periodic oral evaluation - established patient 35 35 $695.68
D0150 Comprehensive oral evaluation - new or established patient 14 14 $296.20
D1208 Topical application of fluoride, excluding varnish 12 12 $134.40
D1999 25 24 $0.00