Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › EAST ISLIP › SIMONETTI, STEPHEN

SIMONETTI, STEPHEN

NPI: 1477172872 · EAST ISLIP, NY 11730 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/15/2020

$5K
Total Medicaid Paid
184
Total Claims
184
Beneficiaries
3
Codes Billed
2023-10
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 103 $3K
2024 81 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 57 57 $3K
D0120 Periodic oral evaluation - established patient 88 88 $2K
D0230 Intraoral - periapical each additional radiographic image 39 39 $669.70