Medicaid Provider Spending

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

DENTAL SERVICES OF TROY PC

NPI: 1548302334 · TROY, NY 12180 · General Practice Dentistry · NPI assigned 02/12/2007

$63K
Total Medicaid Paid
2,104
Total Claims
2,104
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialJAIN, NIRMAL (PRESIDENT)
NPI Enumeration Date02/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,110 $34K
2019 994 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 393 393 $19K
D0150 Comprehensive oral evaluation - new or established patient 622 622 $18K
D0330 Panoramic radiographic image 382 382 $12K
D0210 Intraoral - complete series of radiographic images 298 298 $8K
D0274 Bitewings - four radiographic images 64 64 $2K
D0120 Periodic oral evaluation - established patient 58 58 $1K
D0230 Intraoral - periapical each additional radiographic image 134 134 $1K
D0220 Intraoral - periapical first radiographic image 104 104 $1K
D0140 Limited oral evaluation - problem focused 49 49 $672.00