FLORAL PARK DENTAL CARE,PC
NPI: 1427193564
· FLORAL PARK, NY 11001
· General Practice Dentistry
· NPI assigned 02/20/2007
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | BERTUZZI, DIANE (PRACTICE MANAGER) |
| NPI Enumeration Date | 02/20/2007 |
Related Entities
Other providers sharing the same authorized official: BERTUZZI, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$443.30 |
| 2019 |
122 |
$3K |
| 2020 |
314 |
$8K |
| 2021 |
1,003 |
$22K |
| 2022 |
1,425 |
$35K |
| 2023 |
1,826 |
$42K |
| 2024 |
1,433 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,165 |
1,165 |
$52K |
| D0120 |
Periodic oral evaluation - established patient |
955 |
955 |
$22K |
| D0210 |
Intraoral - complete series of radiographic images |
589 |
587 |
$17K |
| D0274 |
Bitewings - four radiographic images |
660 |
660 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
1,273 |
1,267 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,078 |
1,075 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
396 |
396 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
14 |
$1K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$184.39 |