ACCESS DENTAL GROUP MANHATTAN PLLC
NPI: 1639435290
· NEW YORK, NY 10013
· General Practice Dentistry
· NPI assigned 04/09/2012
$264K
Total Medicaid Paid
Provider Details
| Authorized Official | CHEUNG, SIMON (DENTIST) |
| NPI Enumeration Date | 04/09/2012 |
Related Entities
Other providers sharing the same authorized official: CHEUNG, SIMON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,307 |
$25K |
| 2019 |
1,407 |
$26K |
| 2020 |
945 |
$17K |
| 2021 |
2,526 |
$50K |
| 2022 |
2,625 |
$51K |
| 2023 |
2,767 |
$50K |
| 2024 |
2,520 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,104 |
2,099 |
$93K |
| D0120 |
Periodic oral evaluation - established patient |
2,929 |
2,922 |
$64K |
| D0274 |
Bitewings - four radiographic images |
2,225 |
2,225 |
$48K |
| D0220 |
Intraoral - periapical first radiographic image |
3,756 |
3,728 |
$39K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,045 |
3,008 |
$19K |
| D9110 |
|
26 |
26 |
$445.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$134.40 |