Medicaid Provider Spending

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

FINGER LAKES DENTAL CARE OF WEST HENRIETTA, PLLC

NPI: 1588135842 · HENRIETTA, NY 14467 · General Practice Dentistry · NPI assigned 12/16/2018

$64K
Total Medicaid Paid
2,041
Total Claims
2,016
Beneficiaries
10
Codes Billed
2021-04
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMORELLO, JENNIFER (DIRECTOR OF FINANCE)
NPI Enumeration Date12/16/2018

Related Entities

Other providers sharing the same authorized official: MORELLO, JENNIFER

ProviderCityStateTotal Paid
WHITE SPRUCE SMILES DENTAL, PLLC ROCHESTER NY $349K
VICTOR SMILES DENTAL, PLLC VICTOR NY $268K
FINGER LAKES DENTAL CARE, PC CANANDAIGUA NY $264K
FINGER LAKES DENTAL CARE OF NAPLES, PLLC NAPLES NY $153K
FINGER LAKES DENTAL CARE OF PALMYRA, PLLC PALMYRA NY $145K
FINGER LAKES DENTAL CARE OF VICTOR, PLLC VICTOR NY $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 714 $24K
2022 862 $26K
2023 465 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 681 681 $19K
D1120 Prophylaxis - child 427 427 $17K
D1110 Prophylaxis - adult 136 136 $7K
D1208 Topical application of fluoride, excluding varnish 452 452 $6K
D0274 Bitewings - four radiographic images 162 162 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 46 24 $4K
D0150 Comprehensive oral evaluation - new or established patient 58 58 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 12 $2K
D1206 Topical application of fluoride varnish 38 38 $1K
D0330 Panoramic radiographic image 26 26 $869.80