Medicaid Provider Spending

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

RONDOUT VALLEY FAMILY DENTISTRY

NPI: 1548540800 · STONE RIDGE, NY 12484 · Dental Clinic/Center · NPI assigned 08/18/2011

$58K
Total Medicaid Paid
2,531
Total Claims
2,507
Beneficiary Records
7
Codes Billed
2019-11
First Month
2023-07
Last Month

Provider Details

Authorized OfficialST. HILL, WAYNE (PRESIDENT)
NPI Enumeration Date08/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 112 $3K
2020 194 $4K
2021 843 $19K
2022 933 $22K
2023 449 $10K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 533 532 $28K
D0274 Bitewings - four radiographic images 468 468 $13K
D0220 Intraoral - periapical first radiographic image 570 569 $7K
D0230 Intraoral - periapical each additional radiographic image 741 720 $5K
D0150 Comprehensive oral evaluation - new or established patient 85 85 $2K
D0120 Periodic oral evaluation - established patient 89 89 $2K
D0210 Intraoral - complete series of radiographic images 45 44 $438.04