Medicaid Provider Spending

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

OMAR GUESMIA DDS. PC

NPI: 1487911749 · PHOENIX, NY 13135 · General Practice Dentistry · NPI assigned 04/11/2012

$2K
Total Medicaid Paid
58
Total Claims
58
Beneficiaries
4
Codes Billed
2022-04
First Month
2023-05
Last Month

Provider Details

Authorized OfficialGUESMIA, OMAR (DDS/ DENTIST)
NPI Enumeration Date04/11/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $330.00
2023 46 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 15 15 $825.00
D0274 Bitewings - four radiographic images 14 14 $560.00
D0150 Comprehensive oral evaluation - new or established patient 17 17 $510.00
D0120 Periodic oral evaluation - established patient 12 12 $330.00