WOODHAVEN DENTAL CARE, P.C.
NPI: 1487620316
· WOODHAVEN, NY 11421
· General Practice Dentistry
· NPI assigned 02/28/2006
$128K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
768 |
$12K |
| 2019 |
584 |
$9K |
| 2020 |
967 |
$17K |
| 2021 |
1,598 |
$28K |
| 2022 |
1,365 |
$23K |
| 2023 |
1,324 |
$24K |
| 2024 |
819 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,380 |
1,374 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,537 |
1,533 |
$29K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,634 |
1,617 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,492 |
1,468 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
829 |
798 |
$11K |
| D0274 |
Bitewings - four radiographic images |
430 |
430 |
$8K |
| D4342 |
|
38 |
12 |
$628.20 |
| D0140 |
Limited oral evaluation - problem focused |
59 |
55 |
$580.62 |
| D9110 |
|
13 |
13 |
$202.10 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$152.05 |