Medicaid Provider Spending

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

ROCKLAND COUNTY DENTAL SERVICES

NPI: 1679735823 · SPRING VALLEY, NY 10977 · General Practice Dentistry · NPI assigned 06/30/2008

$22K
Total Medicaid Paid
1,447
Total Claims
1,437
Beneficiaries
7
Codes Billed
2018-02
First Month
2019-08
Last Month

Provider Details

Authorized OfficialFERTUCCI, JOSEPH (PRESIDENT)
NPI Enumeration Date06/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 696 $11K
2019 751 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 210 210 $9K
D0120 Periodic oral evaluation - established patient 194 193 $4K
D0220 Intraoral - periapical first radiographic image 279 273 $3K
D0274 Bitewings - four radiographic images 125 125 $3K
D0230 Intraoral - periapical each additional radiographic image 208 207 $3K
D0210 Intraoral - complete series of radiographic images 194 192 $851.85
D1330 237 237 $0.00