SUSAN M MINCHIN DDS, P.C.
NPI: 1346630233
· ELMIRA, NY 14905
· General Practice Dentistry
· NPI assigned 01/29/2015
$168K
Total Medicaid Paid
Provider Details
| Authorized Official | MINCHIN, SUSAN (OWNER) |
| NPI Enumeration Date | 01/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
593 |
$22K |
| 2019 |
787 |
$29K |
| 2020 |
885 |
$29K |
| 2021 |
1,029 |
$37K |
| 2022 |
751 |
$29K |
| 2023 |
626 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,457 |
1,457 |
$80K |
| D0120 |
Periodic oral evaluation - established patient |
2,016 |
2,016 |
$54K |
| D0274 |
Bitewings - four radiographic images |
430 |
430 |
$12K |
| D1120 |
Prophylaxis - child |
275 |
275 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
297 |
297 |
$4K |
| D0330 |
Panoramic radiographic image |
121 |
121 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
24 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$513.24 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$213.38 |