CONCERNED DENTAL CARE, PC
NPI: 1356485338
· NEW YORK, NY 10016
· Dentist
· NPI assigned 02/16/2007
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | RUBIN, KENNETH (DENTIST) |
| NPI Enumeration Date | 02/16/2007 |
Related Entities
Other providers sharing the same authorized official: RUBIN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$1K |
| 2019 |
125 |
$3K |
| 2020 |
337 |
$8K |
| 2021 |
238 |
$6K |
| 2022 |
1,204 |
$31K |
| 2023 |
1,897 |
$46K |
| 2024 |
1,053 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,051 |
1,050 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
903 |
903 |
$25K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,087 |
1,085 |
$14K |
| D1351 |
Sealant - per tooth |
348 |
90 |
$14K |
| D0272 |
Bitewings - two radiographic images |
460 |
459 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
207 |
206 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
348 |
342 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
395 |
284 |
$2K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$2K |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$894.90 |