Medicaid Provider Spending

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

NO TEARS DENTAL CENTER, PC

NPI: 1790053163 · EAST BRUNSWICK, NJ 08816 · General Practice Dentistry · NPI assigned 12/13/2011

$23K
Total Medicaid Paid
1,198
Total Claims
1,167
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialTOPOL, KATERINA (OWNER)
NPI Enumeration Date12/13/2011

Related Entities

Other providers sharing the same authorized official: TOPOL, KATERINA

ProviderCityStateTotal Paid
FRIENDLY DENTAL OF SOMERSET PC SOMERSET NJ $78K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,198 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 167 167 $5K
D1110 Prophylaxis - adult 193 193 $4K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 58 31 $2K
D0230 Intraoral - periapical each additional radiographic image 177 177 $2K
D0210 Intraoral - complete series of radiographic images 74 74 $2K
D0150 Comprehensive oral evaluation - new or established patient 78 78 $2K
D0140 Limited oral evaluation - problem focused 80 79 $2K
D0274 Bitewings - four radiographic images 152 152 $2K
D0220 Intraoral - periapical first radiographic image 205 204 $820.00
D2954 14 12 $756.00