Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › OCEANSIDE › ADVANCED DENTAL TECHNOLOGIES COR

ADVANCED DENTAL TECHNOLOGIES COR

NPI: 1679968408 · OCEANSIDE, NY 11572 · General Practice Dentistry · NPI assigned 03/30/2015

$396.00
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2020-09
First Month
2020-09
Last Month

Provider Details

Authorized OfficialPETERSON, JOHN (PRESIDENT)
NPI Enumeration Date03/30/2015

Related Entities

Other providers sharing the same authorized official: PETERSON, JOHN

ProviderCityStateTotal Paid
MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY CHARLOTTE NC $33.68M
PETERSON DENTAL PC OCEANSIDE NY $17K
FOOT & ANKLE SPECIALISTS OF IDAHO, P.C. IDAHO FALLS ID $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $396.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $396.00