Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MOUNT KISCO › OPEN DOOR FAMILY MEDICAL CENTER, INC.

OPEN DOOR FAMILY MEDICAL CENTER, INC.

NPI: 1548592348 · MOUNT KISCO, NY 10549 · Federally Qualified Health Center (FQHC) · NPI assigned 02/03/2010

$56K
Total Medicaid Paid
3,458
Total Claims
519
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialMAZZOTTA, MARIA (CHIEF FINANCE OFFICER)
Parent OrganizationOPEN DOOR FAMILY MEDICAL CENTER, INC.
NPI Enumeration Date02/03/2010

Related Entities

Other providers sharing the same authorized official: MAZZOTTA, MARIA

ProviderCityStateTotal Paid
OPEN DOOR FAMILY MEDICAL CENTER, INC. BREWSTER NY $2.08M
OPEN DOOR FAMILY MEDICAL CENTER INC SAUGERTIES NY $341K
OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN OSSINING NY $219K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,887 $29K
2019 1,571 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 3,440 505 $54K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 14 $2K