Medicaid Provider Spending

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

CENTRO DENTAL FAMILIAR PC.

NPI: 1467505529 · JACKSON HEIGHTS, NY 11372 · Dentist · NPI assigned 01/19/2007

$50K
Total Medicaid Paid
1,770
Total Claims
1,630
Beneficiaries
8
Codes Billed
2019-12
First Month
2023-10
Last Month

Provider Details

Authorized OfficialFILION, LUZ (DENTIST)
NPI Enumeration Date01/19/2007

Related Entities

Other providers sharing the same authorized official: FILION, LUZ

ProviderCityStateTotal Paid
FAMILY DENTISTRY OF ELMHURST ELMHURST NY $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 24 $396.00
2021 915 $27K
2022 819 $22K
2023 12 $495.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 478 477 $20K
D2391 Resin-based composite - one surface, posterior, primary or permanent 188 51 $9K
D0120 Periodic oral evaluation - established patient 349 347 $8K
D0274 Bitewings - four radiographic images 267 267 $6K
D0210 Intraoral - complete series of radiographic images 85 85 $3K
D0230 Intraoral - periapical each additional radiographic image 222 222 $2K
D0220 Intraoral - periapical first radiographic image 129 129 $1K
D0150 Comprehensive oral evaluation - new or established patient 52 52 $1K