Medicaid Provider Spending

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

ASTORIA DENTAL ASSOCIATES

NPI: 1558416727 · ASTORIA, NY 11103 · General Practice Dentistry · NPI assigned 01/25/2007

$17K
Total Medicaid Paid
708
Total Claims
708
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDOURMAS, GEORGE (VICE PRESIDENT)
NPI Enumeration Date01/25/2007

Related Entities

Other providers sharing the same authorized official: DOURMAS, GEORGE

ProviderCityStateTotal Paid
MID QUEENS DENTAL & ASSOCIATES MIDDLE VILLAGE NY $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $229.80
2019 101 $2K
2020 135 $3K
2021 203 $5K
2022 144 $4K
2023 112 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 283 283 $10K
D0120 Periodic oral evaluation - established patient 374 374 $7K
D0220 Intraoral - periapical first radiographic image 38 38 $360.96
D1999 13 13 $0.00