MATTHEW J CLEMENTE DDS PC
NPI: 1710051958
· TROY, NY 12182
· General Practice Dentistry
· NPI assigned 11/20/2006
$230K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
74 |
$10K |
| 2022 |
13 |
$741.00 |
| 2023 |
1,054 |
$176K |
| 2024 |
296 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
810 |
282 |
$186K |
| D0330 |
Panoramic radiographic image |
253 |
253 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
374 |
373 |
$21K |