BAYSIDE ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, P.C.
NPI: 1730391129
· LITTLE NECK, NY 11362
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/05/2007
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | SHPUNTOFF, ROBERT (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 05/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
101 |
$19K |
| 2019 |
115 |
$23K |
| 2020 |
199 |
$34K |
| 2021 |
80 |
$15K |
| 2022 |
26 |
$6K |
| 2023 |
56 |
$10K |
| 2024 |
12 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
541 |
532 |
$110K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$342.64 |
| D1999 |
|
34 |
34 |
$0.00 |