Medicaid Provider Spending

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

D&I DENTAL MANAGEMENT

NPI: 1376717678 · KEW GARDENS, NY 11415 · General Practice Dentistry · NPI assigned 04/17/2008

$25K
Total Medicaid Paid
1,252
Total Claims
1,251
Beneficiaries
5
Codes Billed
2018-08
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSHALYTO, DANIEL (OWNER)
NPI Enumeration Date04/17/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $510.40
2019 99 $2K
2020 150 $4K
2021 282 $5K
2022 325 $6K
2023 245 $5K
2024 126 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 728 728 $14K
D1110 Prophylaxis - adult 214 214 $8K
D0220 Intraoral - periapical first radiographic image 228 227 $2K
D0230 Intraoral - periapical each additional radiographic image 68 68 $331.26
D0274 Bitewings - four radiographic images 14 14 $268.94