Medicaid Provider Spending

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

SNL DENTISRTY LLC

NPI: 1386020790 · FAIRFIELD, CT 06824 · General Practice Dentistry · NPI assigned 08/07/2015

$87K
Total Medicaid Paid
3,581
Total Claims
3,273
Beneficiaries
10
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLI, YUAN (OWNER)
NPI Enumeration Date08/07/2015

Related Entities

Other providers sharing the same authorized official: LI, YUAN

ProviderCityStateTotal Paid
CASTLE OF HEALTH MEDICAL OFFICE, P.C. FLUSHING NY $526K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 200 $5K
2019 56 $2K
2020 135 $4K
2021 416 $10K
2022 622 $15K
2023 932 $23K
2024 1,220 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 631 604 $19K
D1110 Prophylaxis - adult 589 553 $19K
D0120 Periodic oral evaluation - established patient 874 821 $18K
D1208 Topical application of fluoride, excluding varnish 503 473 $10K
D0140 Limited oral evaluation - problem focused 256 222 $8K
D1120 Prophylaxis - child 106 101 $4K
D0220 Intraoral - periapical first radiographic image 335 304 $4K
D0150 Comprehensive oral evaluation - new or established patient 128 117 $3K
D0210 Intraoral - complete series of radiographic images 34 27 $1K
D0230 Intraoral - periapical each additional radiographic image 125 51 $1K