Medicaid Provider Spending

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

WINDSOR DENTAL ASSOCIATES LLP

NPI: 1518024892 · WINDSOR, NY 13865 · General Practice Dentistry · NPI assigned 01/03/2007

$57K
Total Medicaid Paid
1,479
Total Claims
1,478
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialWILLIAMS, ANNIE (OFFICE MANAGER)
NPI Enumeration Date01/03/2007

Related Entities

Other providers sharing the same authorized official: WILLIAMS, ANNIE

ProviderCityStateTotal Paid
WILLIAMS HOME HEALTH CARE INC FERGUSON MO $3.09M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 826 $32K
2019 532 $20K
2020 121 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 546 546 $30K
D0120 Periodic oral evaluation - established patient 665 664 $18K
D0274 Bitewings - four radiographic images 133 133 $4K
D1120 Prophylaxis - child 52 52 $2K
D0150 Comprehensive oral evaluation - new or established patient 25 25 $750.00
D1208 Topical application of fluoride, excluding varnish 45 45 $630.00
D0330 Panoramic radiographic image 13 13 $520.00