Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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COMMACK PEDIATRIC DENTISTRY, P.C.

NPI: 1609536390 · COMMACK, NY 11725 · Pediatric Dentist · NPI assigned 12/22/2021

$14K
Total Medicaid Paid
617
Total Claims
617
Beneficiaries
6
Codes Billed
2022-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSTERN, ROD (PEDIATRIC DENTIST)
NPI Enumeration Date12/22/2021

Related Entities

Other providers sharing the same authorized official: STERN, ROD

ProviderCityStateTotal Paid
SHINING SMILES PEDIATRIC DENTISTRY, P.C. MANHASSET NY $253K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 412 $9K
2023 137 $3K
2024 68 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 192 192 $7K
D0150 Comprehensive oral evaluation - new or established patient 162 162 $4K
D1208 Topical application of fluoride, excluding varnish 181 181 $2K
D1206 Topical application of fluoride varnish 25 25 $619.58
D0220 Intraoral - periapical first radiographic image 44 44 $522.16
D0272 Bitewings - two radiographic images 13 13 $171.75