Medicaid Provider Spending

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

SYEDLOC DENTISTRY,PC

NPI: 1396186912 · BUFFALO, NY 14214 · General Practice Dentistry · NPI assigned 07/11/2013

$68K
Total Medicaid Paid
1,640
Total Claims
1,619
Beneficiaries
8
Codes Billed
2021-07
First Month
2023-11
Last Month

Provider Details

Authorized OfficialLACARRUBBA, ROBERT (DENTIST/OWNER)
NPI Enumeration Date07/11/2013

Related Entities

Other providers sharing the same authorized official: LACARRUBBA, ROBERT

ProviderCityStateTotal Paid
KENMORE QUALITYCARE DENTISTRY, PC BUFFALO NY $806K
ROBERT J. LACARRUBBA, DDS, PC BUFFALO NY $346K
LC DENTISTRY PC CHEEKTOWAGA NY $315K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 249 $10K
2022 445 $18K
2023 946 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 546 546 $34K
D0120 Periodic oral evaluation - established patient 435 435 $14K
D0274 Bitewings - four radiographic images 401 401 $10K
D0150 Comprehensive oral evaluation - new or established patient 98 98 $3K
D0330 Panoramic radiographic image 77 77 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21 13 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 26 13 $2K
D0220 Intraoral - periapical first radiographic image 36 36 $358.21