Medicaid Provider Spending

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

DENTISTRY UNLIMITED OF ST. JAMES PLLC

NPI: 1699168757 · SAINT JAMES, NY 11780 · Dental Clinic/Center · NPI assigned 03/13/2015

$36K
Total Medicaid Paid
1,547
Total Claims
1,535
Beneficiary Records
6
Codes Billed
2019-03
First Month
2023-07
Last Month

Provider Details

Authorized OfficialLAGUARDIA, GERALD (MEMBER)
NPI Enumeration Date03/13/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 103 $3K
2020 485 $10K
2021 417 $11K
2022 324 $8K
2023 218 $6K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1110 Prophylaxis - adult 498 498 $20K
D0120 Periodic oral evaluation - established patient 421 421 $9K
D0274 Bitewings - four radiographic images 143 143 $3K
D0220 Intraoral - periapical first radiographic image 287 282 $3K
D0230 Intraoral - periapical each additional radiographic image 159 154 $1K
D1999 39 37 $0.00