Medicaid Provider Spending

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

DWAYNE M. BODIE, DMD, PC

NPI: 1619101839 · NYACK, NY 10960 · General Practice Dentistry · NPI assigned 05/04/2009

$47K
Total Medicaid Paid
1,645
Total Claims
1,639
Beneficiaries
9
Codes Billed
2018-04
First Month
2023-06
Last Month

Provider Details

Authorized OfficialBODIE, DWAYNE (CEO/PRESIDENT)
NPI Enumeration Date05/04/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $3K
2019 194 $6K
2020 158 $5K
2021 365 $12K
2022 620 $15K
2023 240 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 722 721 $30K
D0120 Periodic oral evaluation - established patient 459 459 $10K
D0220 Intraoral - periapical first radiographic image 174 172 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 16 14 $2K
D0274 Bitewings - four radiographic images 73 73 $2K
D0150 Comprehensive oral evaluation - new or established patient 53 53 $1K
D0230 Intraoral - periapical each additional radiographic image 118 118 $684.80
D0210 Intraoral - complete series of radiographic images 12 12 $452.04
D1999 18 17 $0.00