Medicaid Provider Spending

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

SEAPORT DENTAL

NPI: 1548792559 · LINDENHURST, NY 11757 · Health Maintenance Organization · NPI assigned 03/29/2017

$63K
Total Medicaid Paid
2,169
Total Claims
2,168
Beneficiaries
7
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNWAISER, ZUHAIR (DENTIST/OWNER)
NPI Enumeration Date03/29/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 146 $5K
2022 505 $16K
2023 965 $26K
2024 553 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 725 725 $33K
D0210 Intraoral - complete series of radiographic images 189 188 $8K
D0150 Comprehensive oral evaluation - new or established patient 300 300 $7K
D0274 Bitewings - four radiographic images 249 249 $6K
D0120 Periodic oral evaluation - established patient 152 152 $4K
D0220 Intraoral - periapical first radiographic image 304 304 $3K
D0230 Intraoral - periapical each additional radiographic image 250 250 $3K