Medicaid Provider Spending

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

POMONA SETHI DENTAL PLLC

NPI: 1518027234 · POMONA, NY 10970 · Dental Clinic/Center · NPI assigned 12/11/2006

$15K
Total Medicaid Paid
257
Total Claims
235
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSETHI, SANGEETA (OWNER)
NPI Enumeration Date12/11/2006

Related Entities

Other providers sharing the same authorized official: SETHI, SANGEETA

ProviderCityStateTotal Paid
SETHI DENTAL BRONX NY $311K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143 $8K
2019 82 $5K
2020 32 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 81 59 $8K
D7960 13 13 $4K
D0120 Periodic oral evaluation - established patient 111 111 $3K
D0145 Oral evaluation for a patient under three years of age 12 12 $306.00
D1208 Topical application of fluoride, excluding varnish 25 25 $297.50
D9430 15 15 $267.75