Medicaid Provider Spending

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

BAYBERRY DENTAL OFFICE

NPI: 1548387731 · LIVERPOOL, NY 13090 · Dentist · NPI assigned 03/23/2007

$33K
Total Medicaid Paid
898
Total Claims
898
Beneficiaries
7
Codes Billed
2021-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialAZIZ, NADIR (OWNER)
NPI Enumeration Date03/23/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 220 $8K
2022 367 $14K
2023 311 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 356 356 $19K
D0120 Periodic oral evaluation - established patient 384 384 $10K
D0150 Comprehensive oral evaluation - new or established patient 29 29 $870.00
D0274 Bitewings - four radiographic images 26 26 $708.76
D1208 Topical application of fluoride, excluding varnish 50 50 $700.00
D0272 Bitewings - two radiographic images 28 28 $447.44
D0220 Intraoral - periapical first radiographic image 25 25 $329.00