Medicaid Provider Spending

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

JESSE J. HOFER, DMD, P.C.

NPI: 1427678002 · SCARSDALE, NY 10583 · General Practice Dentistry · NPI assigned 04/23/2020

$4K
Total Medicaid Paid
207
Total Claims
207
Beneficiaries
4
Codes Billed
2020-06
First Month
2021-03
Last Month

Provider Details

Authorized OfficialHOFER, JESSE (OWNER)
NPI Enumeration Date04/23/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 163 $3K
2021 44 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 81 81 $3K
D0120 Periodic oral evaluation - established patient 57 57 $1K
D0220 Intraoral - periapical first radiographic image 40 40 $372.16
D0230 Intraoral - periapical each additional radiographic image 29 29 $209.06