SCHMITT-KINGSTON, AMY
NPI: 1659489201
· SPRINGVILLE, NY 14141
· Dentist
· NPI assigned 08/25/2006
$127K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
617 |
$23K |
| 2019 |
692 |
$26K |
| 2020 |
565 |
$20K |
| 2021 |
663 |
$24K |
| 2022 |
553 |
$20K |
| 2023 |
302 |
$11K |
| 2024 |
82 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,550 |
1,546 |
$76K |
| D0120 |
Periodic oral evaluation - established patient |
1,855 |
1,850 |
$48K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$2K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$685.70 |