Medicaid Provider Spending

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

SHINE DENTAL PC

NPI: 1720262496 · BAYSIDE, NY 11361 · General Practice Dentistry · NPI assigned 12/18/2007

$64K
Total Medicaid Paid
3,479
Total Claims
3,473
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSHIN, DUSTIN (PRESIDENT)
NPI Enumeration Date12/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 523 $10K
2019 668 $11K
2020 516 $10K
2021 739 $14K
2022 601 $11K
2023 376 $8K
2024 56 $996.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 903 902 $30K
D0120 Periodic oral evaluation - established patient 887 885 $17K
D0220 Intraoral - periapical first radiographic image 779 777 $7K
D0230 Intraoral - periapical each additional radiographic image 710 709 $6K
D0274 Bitewings - four radiographic images 145 145 $3K
D0330 Panoramic radiographic image 43 43 $1K
D0272 Bitewings - two radiographic images 12 12 $121.44