Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › JACKSON HEIGHTS › DAVID B. GOODMAN D.D.S. , STEPHEN A. FESTA D.D.D.

DAVID B. GOODMAN D.D.S. , STEPHEN A. FESTA D.D.D.

NPI: 1588879530 · JACKSON HEIGHTS, NY 11372 · Pediatric Dentist · NPI assigned 05/13/2007

$80K
Total Medicaid Paid
2,792
Total Claims
2,789
Beneficiaries
5
Codes Billed
2018-05
First Month
2020-02
Last Month

Provider Details

Authorized OfficialFESTA, STEPHEN (PARTNER)
NPI Enumeration Date05/13/2007

Related Entities

Other providers sharing the same authorized official: FESTA, STEPHEN

ProviderCityStateTotal Paid
DR. STEPHEN A FESTA-PEDIATRIC DENTISTRY PLLC JACKSON HEIGHTS NY $1.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 997 $28K
2019 1,456 $41K
2020 339 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 467 466 $26K
D0120 Periodic oral evaluation - established patient 1,010 1,009 $25K
D1120 Prophylaxis - child 352 352 $15K
D1208 Topical application of fluoride, excluding varnish 874 873 $12K
D0272 Bitewings - two radiographic images 89 89 $1K