Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › EAST SYRACUSE › PLEV BC PLC

PLEV BC PLC

NPI: 1730592163 · EAST SYRACUSE, NY 13057 · Dentist · NPI assigned 06/03/2014

$142K
Total Medicaid Paid
2,186
Total Claims
1,767
Beneficiaries
10
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERTOLLINI, JASON (PROVIDER RELATIONS SPECIALIST)
NPI Enumeration Date06/03/2014

Related Entities

Other providers sharing the same authorized official: BERTOLLINI, JASON

ProviderCityStateTotal Paid
TAWFIQ ALKILANI DDS PLLC TRAVERSE CITY MI $360K
PLEASANT SMILES DENTAL CARE, PLLC MT PLEASANT MI $315K
GILL DENTAL PC LANSING MI $195K
DR. ELDIB, PLLC ADRIAN MI $81K
EPP OREGON LLC TUALATIN OR $57K
PLEV SAG, PLC SAGINAW MI $27K
PLEV, PC FLINT MI $9K
PURA VIDA SMILES, PC JACKSON MI $8K
VMLP AH PLC LAKE ORION MI $1K
SCOTT NIGL DENTAL PC FORT GRATIOT MI $501.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $481.00
2019 53 $3K
2020 82 $4K
2021 73 $3K
2022 134 $11K
2023 477 $28K
2024 1,355 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 436 111 $73K
D0210 Intraoral - complete series of radiographic images 456 455 $28K
D0150 Comprehensive oral evaluation - new or established patient 649 649 $25K
D0140 Limited oral evaluation - problem focused 177 171 $9K
D2950 16 12 $3K
D0330 Panoramic radiographic image 38 38 $1K
D1110 Prophylaxis - adult 40 40 $1K
D1206 Topical application of fluoride varnish 108 108 $1K
D0220 Intraoral - periapical first radiographic image 42 40 $683.59
D9630 224 143 $0.00