Medicaid Provider Spending

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

ANTHONY SANTOSTEFANO DDS PLLC

NPI: 1710455456 · MAHOPAC, NY 10541 · Dentist · NPI assigned 11/12/2018

$34K
Total Medicaid Paid
1,729
Total Claims
1,708
Beneficiaries
6
Codes Billed
2019-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSANTOSTEFANO, ANTHONY (OWNER)
NPI Enumeration Date11/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 293 $5K
2020 418 $7K
2021 453 $9K
2023 212 $5K
2024 353 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 322 322 $12K
D0120 Periodic oral evaluation - established patient 383 383 $8K
D0274 Bitewings - four radiographic images 280 280 $6K
D0220 Intraoral - periapical first radiographic image 366 365 $3K
D0230 Intraoral - periapical each additional radiographic image 360 342 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 16 $2K