Medicaid Provider Spending

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

THRIVE DENTAL PLLC

NPI: 1518614916 · BAYSIDE, NY 11361 · Dental Clinic/Center · NPI assigned 03/05/2022

$14K
Total Medicaid Paid
812
Total Claims
812
Beneficiaries
7
Codes Billed
2023-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMIKHAYLOVA, YELENA (DDS)
NPI Enumeration Date03/05/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 389 $7K
2024 423 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 253 253 $9K
D0274 Bitewings - four radiographic images 136 136 $1K
D0150 Comprehensive oral evaluation - new or established patient 39 39 $936.00
D0330 Panoramic radiographic image 35 35 $840.00
D0120 Periodic oral evaluation - established patient 40 40 $760.00
D0220 Intraoral - periapical first radiographic image 156 156 $537.60
D0230 Intraoral - periapical each additional radiographic image 153 153 $396.00