Medicaid Provider Spending

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

NY METRO DENTAL, PC

NPI: 1588298889 · YONKERS, NY 10710 · Dentist · NPI assigned 02/25/2020

$92K
Total Medicaid Paid
4,807
Total Claims
4,785
Beneficiaries
10
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCADIEUX, AMY (REG MGR)
Parent OrganizationNY METRO DENTAL, PC
NPI Enumeration Date02/25/2020

Related Entities

Other providers sharing the same authorized official: CADIEUX, AMY

ProviderCityStateTotal Paid
NY METRO DENTAL, PC YONKERS NY $2.13M
NY METRO DENTAL, PC BRONX NY $753K
NY METRO DENTAL, PC RICHMOND HILL NY $9K
NY METRO DENTAL, PC FARMINGVILLE NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 354 $5K
2021 1,182 $19K
2022 854 $14K
2023 503 $10K
2024 1,914 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 1,374 1,374 $49K
D0220 Intraoral - periapical first radiographic image 1,182 1,176 $11K
D0274 Bitewings - four radiographic images 496 496 $9K
D0120 Periodic oral evaluation - established patient 428 428 $8K
D0230 Intraoral - periapical each additional radiographic image 738 736 $8K
D0150 Comprehensive oral evaluation - new or established patient 181 181 $4K
D0210 Intraoral - complete series of radiographic images 69 69 $3K
D0140 Limited oral evaluation - problem focused 54 53 $564.47
D0330 Panoramic radiographic image 39 39 $471.18
D1999 246 233 $0.00