FAMILY CHOICE DENTAL CARE P.C.
NPI: 1639448327
· RIDGEWOOD, NY 11385
· Dentist
· NPI assigned 12/25/2011
$318K
Total Medicaid Paid
Provider Details
| Authorized Official | ATTIA, SAMIH (PRESIDENT) |
| NPI Enumeration Date | 12/25/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,269 |
$37K |
| 2019 |
2,732 |
$44K |
| 2020 |
2,359 |
$39K |
| 2021 |
2,821 |
$49K |
| 2022 |
3,028 |
$53K |
| 2023 |
2,902 |
$50K |
| 2024 |
2,625 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,425 |
2,421 |
$87K |
| D0120 |
Periodic oral evaluation - established patient |
3,616 |
3,610 |
$74K |
| D0274 |
Bitewings - four radiographic images |
3,210 |
3,210 |
$63K |
| D0220 |
Intraoral - periapical first radiographic image |
3,526 |
3,524 |
$31K |
| D1120 |
Prophylaxis - child |
785 |
784 |
$24K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,423 |
3,422 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,526 |
1,523 |
$17K |
| D1351 |
Sealant - per tooth |
75 |
38 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
24 |
$2K |
| D1999 |
|
125 |
121 |
$0.00 |