Medicaid Provider Spending

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

HOPEWELL PEDIATRIC DENTISTRY PC

NPI: 1619403185 · HOPEWELL JUNCTION, NY 12533 · Pediatric Dentist · NPI assigned 05/03/2017

$20K
Total Medicaid Paid
952
Total Claims
950
Beneficiaries
8
Codes Billed
2020-09
First Month
2021-10
Last Month

Provider Details

Authorized OfficialLIMB, LAWRENCE (PEDIATRIC DENTIST)
NPI Enumeration Date05/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 163 $4K
2021 789 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 203 203 $8K
D0150 Comprehensive oral evaluation - new or established patient 108 108 $3K
D1208 Topical application of fluoride, excluding varnish 217 217 $3K
D0220 Intraoral - periapical first radiographic image 143 141 $2K
D0272 Bitewings - two radiographic images 109 109 $2K
D0230 Intraoral - periapical each additional radiographic image 128 128 $855.40
D0120 Periodic oral evaluation - established patient 31 31 $817.80
D0210 Intraoral - complete series of radiographic images 13 13 $234.06