Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › LITTLE NECK › EXQUISITE DENTAL CARE, PLLC

EXQUISITE DENTAL CARE, PLLC

NPI: 1407133523 · LITTLE NECK, NY 11362 · General Practice Dentistry · NPI assigned 11/03/2011

$27K
Total Medicaid Paid
989
Total Claims
988
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialLIN, MICHAEL (OWNER)
NPI Enumeration Date11/03/2011

Related Entities

Other providers sharing the same authorized official: LIN, MICHAEL

ProviderCityStateTotal Paid
SOUTHERN CALIFORNIA ENDOCRINE CENTER INCOPORATED SAN GABRIEL CA $1.52M
FAUQUIER FAMILY PRACTICE P.L.C. WARRENTON VA $345K
MOMENTUM REHAB CONSULTANTS, LLC BRADFORD MA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 634 $15K
2019 257 $8K
2020 86 $2K
2021 12 $489.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 363 363 $16K
D0120 Periodic oral evaluation - established patient 383 383 $8K
D0220 Intraoral - periapical first radiographic image 139 138 $2K
D0230 Intraoral - periapical each additional radiographic image 104 104 $608.80