Medicaid Provider Spending

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

NY METRO DENTAL, PC

NPI: 1780218081 · RICHMOND HILL, NY 11419 · Dentist · NPI assigned 02/25/2020

$9K
Total Medicaid Paid
279
Total Claims
279
Beneficiaries
4
Codes Billed
2022-06
First Month
2024-04
Last Month

Provider Details

Authorized OfficialCADIEUX, AMY (REG. MGR)
Parent OrganizationNY METRO DENTAL, PC
NPI Enumeration Date02/25/2020

Related Entities

Other providers sharing the same authorized official: CADIEUX, AMY

ProviderCityStateTotal Paid
NY METRO DENTAL, PC YONKERS NY $2.13M
NY METRO DENTAL, PC BRONX NY $753K
NY METRO DENTAL, PC YONKERS NY $92K
NY METRO DENTAL, PC FARMINGVILLE NY $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 66 $2K
2023 179 $5K
2024 34 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 121 121 $5K
D0210 Intraoral - complete series of radiographic images 100 100 $3K
D0120 Periodic oral evaluation - established patient 43 43 $860.04
D0220 Intraoral - periapical first radiographic image 15 15 $165.74