Medicaid Provider Spending

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

ALLCITY COSMETIC DENTAL CARE, PC

NPI: 1366673857 · HUNTINGTON STATION, NY 11746 · Dental Clinic/Center · NPI assigned 07/31/2009

$26K
Total Medicaid Paid
1,177
Total Claims
1,171
Beneficiaries
5
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYUSUPOV, BORIS (PRESIDENT)
Parent OrganizationALLCITY COSMETIC DENTAL CARE, PC
NPI Enumeration Date07/31/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $905.11
2021 125 $2K
2022 426 $9K
2023 345 $8K
2024 253 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 296 296 $13K
D0120 Periodic oral evaluation - established patient 193 192 $4K
D0220 Intraoral - periapical first radiographic image 328 323 $3K
D0274 Bitewings - four radiographic images 144 144 $3K
D0230 Intraoral - periapical each additional radiographic image 216 216 $2K