Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MIDDLETOWN › HAMPTON FAMILY DENTISTRY

HAMPTON FAMILY DENTISTRY

NPI: 1548494701 · MIDDLETOWN, NY 10940 · Dentist · NPI assigned 05/04/2009

$6K
Total Medicaid Paid
220
Total Claims
220
Beneficiaries
6
Codes Billed
2018-10
First Month
2020-07
Last Month

Provider Details

Authorized OfficialKIM, JEFFREY (OWNER)
NPI Enumeration Date05/04/2009

Related Entities

Other providers sharing the same authorized official: KIM, JEFFREY

ProviderCityStateTotal Paid
DR. JEFFREY J KIM'S DENTAL, INC. SAN BERNARDINO CA $1.18M
PRIMARY CARE DENTAL PC HARTSDALE NY $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $1K
2019 77 $2K
2020 108 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 89 89 $3K
D0120 Periodic oral evaluation - established patient 44 44 $1K
D1208 Topical application of fluoride, excluding varnish 40 40 $518.00
D0150 Comprehensive oral evaluation - new or established patient 17 17 $480.00
D0220 Intraoral - periapical first radiographic image 17 17 $223.72
D0230 Intraoral - periapical each additional radiographic image 13 13 $85.54