Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
NY
›
FAR ROCKAWAY
› S T DENTAL SERVICE PC
S T DENTAL SERVICE PC
NPI: 1679534119 · FAR ROCKAWAY, NY 11691 ·
122300000X
$16K
Total Medicaid Paid
639
Total Claims
639
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
12
$278.40
2019
63
$1K
2020
12
$239.70
2021
25
$423.30
2022
108
$3K
2023
149
$4K
2024
270
$8K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
200
200
$8K
D0120
367
367
$7K
D0274
46
46
$939.32
D0230
13
13
$123.25
D0220
13
13
$118.32