Medicaid Provider Spending

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

ALABRAMI DENTAL CARE,PC

NPI: 1518300482 · OLD BRIDGE, NJ 08857 · General Practice Dentistry · NPI assigned 04/10/2013

$1K
Total Medicaid Paid
294
Total Claims
287
Beneficiaries
4
Codes Billed
2018-07
First Month
2020-03
Last Month

Provider Details

Authorized OfficialSAMOYLOVICH, ESFIR (DENTIST)
NPI Enumeration Date04/10/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39 $73.00
2019 180 $867.50
2020 75 $160.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 97 97 $635.00
D0220 Intraoral - periapical first radiographic image 107 102 $192.75
D0230 Intraoral - periapical each additional radiographic image 76 74 $148.50
D1110 Prophylaxis - adult 14 14 $125.00