Medicaid Provider Spending

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

MIDDLETOWN DENTAL PC

NPI: 1548454861 · MIDDLETOWN, NY 10940 · Oral and Maxillofacial Pathology Dentist · NPI assigned 08/29/2007

$31K
Total Medicaid Paid
732
Total Claims
729
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialSHAPIRO, CRAIG (PRESIDENT)
NPI Enumeration Date08/29/2007

Related Entities

Other providers sharing the same authorized official: SHAPIRO, CRAIG

ProviderCityStateTotal Paid
PUEBLO PULMONARY ASSOCIATES PUEBLO CO $5.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 732 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 312 311 $18K
D0120 Periodic oral evaluation - established patient 282 281 $8K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12 12 $2K
D0210 Intraoral - complete series of radiographic images 29 29 $1K
D0274 Bitewings - four radiographic images 42 41 $1K
D1208 Topical application of fluoride, excluding varnish 43 43 $602.00
D0150 Comprehensive oral evaluation - new or established patient 12 12 $360.00