Medicaid Provider Spending

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

BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER

NPI: 1619275039 · BRONX, NY 10453 · Federally Qualified Health Center (FQHC) · NPI assigned 03/09/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEMARCO, VICTOR controls 17+ related entities in our dataset. Read more

$6.55M
Total Medicaid Paid
128,425
Total Claims
54,363
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDEMARCO, VICTOR (SENIOR VP-CHIEF FINANCIAL OFFICER)
Parent OrganizationBRONXCARE DR. MARTIN LUTHER KING JR HEALTH CENTER INC
NPI Enumeration Date03/09/2011

Related Entities

Other providers sharing the same authorized official: DEMARCO, VICTOR

ProviderCityStateTotal Paid
BRONXCARE HEALTH SYSTEM BRONX NY $348.43M
BRONXCARE HEALTH SYSTEM BRONX NY $62.38M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $60.39M
BRONXCARE HEALTH SYSTEM BRONX NY $13.04M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $7.31M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $6.04M
BRONXCARE HEALTH SYSTEM BRONX NY $4.30M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $3.14M
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $511K
BRONXCARE HEALTH SYSTEM BRONX NY $420K
BRONXCARE HEALTH SYSTEM BRONX NY $403K
BRONXCARE DR. MARTIN LUTHER KING JR. HEALTH CENTER BRONX NY $392K
BRONXCARE HEALTH SYSTEM BRONX NY $13K
BRONXCARE HEALTH SYSTEM BRONX NY $12K
BRONXCARE SPECIAL CARE CENTER BRONX NY $6K
BRONXCARE HEALTH SYSTEM BRONX NY $2K
BRONXCARE HEALTH SYSTEM BRONX NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,535 $869K
2019 14,114 $709K
2020 11,501 $641K
2021 13,701 $747K
2022 11,093 $538K
2023 33,250 $1.73M
2024 21,231 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 10,731 10,454 $1.26M
D0120 Periodic oral evaluation - established patient 49,915 9,997 $1.15M
D9430 9,857 9,047 $1.13M
D0140 Limited oral evaluation - problem focused 24,068 8,488 $1.04M
D7140 Extraction, erupted tooth or exposed root 4,604 4,190 $532K
D0330 Panoramic radiographic image 8,277 3,090 $373K
D0150 Comprehensive oral evaluation - new or established patient 10,020 2,051 $244K
D1351 Sealant - per tooth 2,918 1,857 $215K
D1110 Prophylaxis - adult 1,982 1,777 $199K
D9310 853 845 $104K
D0220 Intraoral - periapical first radiographic image 2,153 724 $86K
D5110 386 327 $42K
D2391 Resin-based composite - one surface, posterior, primary or permanent 417 359 $41K
D0340 965 357 $40K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 323 284 $36K
D9991 256 256 $26K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 571 152 $14K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 56 54 $7K
D0470 25 25 $2K
D4341 18 14 $2K
D0350 30 15 $1K