ASTORIA DENTAL CARE PC
NPI: 1609048768
· ASTORIA, NY 11102
· Dentist
· NPI assigned 03/28/2008
$451K
Total Medicaid Paid
Provider Details
| Authorized Official | GEORGE, RITA (DENTIST) |
| NPI Enumeration Date | 03/28/2008 |
Related Entities
Other providers sharing the same authorized official: GEORGE, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,641 |
$57K |
| 2019 |
2,024 |
$36K |
| 2020 |
2,209 |
$45K |
| 2021 |
4,006 |
$82K |
| 2022 |
4,513 |
$99K |
| 2023 |
4,122 |
$87K |
| 2024 |
2,289 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,038 |
3,033 |
$113K |
| D0120 |
Periodic oral evaluation - established patient |
3,754 |
3,749 |
$78K |
| D1120 |
Prophylaxis - child |
1,765 |
1,761 |
$54K |
| D0274 |
Bitewings - four radiographic images |
2,265 |
2,261 |
$45K |
| D1351 |
Sealant - per tooth |
912 |
289 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,698 |
2,693 |
$29K |
| D0220 |
Intraoral - periapical first radiographic image |
2,806 |
2,790 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,034 |
1,032 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,400 |
2,346 |
$21K |
| D1206 |
Topical application of fluoride varnish |
474 |
471 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
1,274 |
1,257 |
$6K |
| D0272 |
Bitewings - two radiographic images |
359 |
358 |
$4K |
| D9110 |
|
25 |
25 |
$427.72 |