LI DENTISTRY AND SMILE DESIGN, P.C.
NPI: 1366775702
· HUNTINGTON STATION, NY 11746
· Dental Clinic/Center
· NPI assigned 09/17/2009
$572K
Total Medicaid Paid
Provider Details
| Authorized Official | NUNEZ, PORFIRIO (PRESIDENT) |
| NPI Enumeration Date | 09/17/2009 |
Related Entities
Other providers sharing the same authorized official: NUNEZ, PORFIRIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,494 |
$34K |
| 2019 |
2,107 |
$46K |
| 2020 |
3,170 |
$70K |
| 2021 |
4,730 |
$105K |
| 2022 |
5,638 |
$127K |
| 2023 |
4,899 |
$110K |
| 2024 |
3,569 |
$80K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
3,435 |
3,432 |
$139K |
| D0120 |
|
3,971 |
3,968 |
$89K |
| D0274 |
|
3,443 |
3,440 |
$75K |
| D1120 |
|
1,474 |
1,474 |
$54K |
| D2392 |
|
622 |
530 |
$42K |
| D0220 |
|
4,282 |
4,266 |
$37K |
| D0230 |
|
3,480 |
3,476 |
$30K |
| D0150 |
|
1,062 |
1,061 |
$26K |
| D2391 |
|
450 |
390 |
$23K |
| D0140 |
|
1,289 |
1,274 |
$16K |
| D0210 |
|
1,224 |
1,218 |
$15K |
| D0330 |
|
498 |
498 |
$12K |
| D2393 |
|
111 |
100 |
$9K |
| D1206 |
|
198 |
198 |
$6K |
| D7140 |
|
38 |
26 |
$2K |
| D0272 |
|
30 |
30 |
$345.19 |