Medicaid Provider Spending

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

THOMAS PATRICK MCCUE IV DDS PC

NPI: 1609114487 · PULASKI, NY 13142 · General Practice Dentistry · NPI assigned 01/29/2013

$8K
Total Medicaid Paid
202
Total Claims
202
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialMCCUE, THOMAS (DENTIST)
NPI Enumeration Date01/29/2013

Related Entities

Other providers sharing the same authorized official: MCCUE, THOMAS

ProviderCityStateTotal Paid
MCCUE DENTAL FULTON PC FULTON NY $254K
TOM MCCUE IV DDS PC BREWERTON NY $165K
MCCUE DENTAL CARTHAGE PC CARTHAGE NY $88K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 202 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 69 69 $4K
D0120 Periodic oral evaluation - established patient 76 76 $2K
D1120 Prophylaxis - child 26 26 $1K
D0274 Bitewings - four radiographic images 17 17 $493.00
D1208 Topical application of fluoride, excluding varnish 14 14 $196.00