Medicaid Provider Spending

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

OCEANSIDE CARE DENTISTRY PLLC

NPI: 1790545895 · OCEANSIDE, NY 11572 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/19/2024

$20K
Total Medicaid Paid
950
Total Claims
949
Beneficiaries
9
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHANG, HYUN (DENTIST)
NPI Enumeration Date03/19/2024

Related Entities

Other providers sharing the same authorized official: CHANG, HYUN

ProviderCityStateTotal Paid
KHK DENTISRTY PC OCEANSIDE NY $543K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 950 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 196 196 $8K
D0120 Periodic oral evaluation - established patient 156 156 $3K
D0274 Bitewings - four radiographic images 154 154 $3K
D0220 Intraoral - periapical first radiographic image 194 193 $2K
D0230 Intraoral - periapical each additional radiographic image 170 170 $948.44
D0150 Comprehensive oral evaluation - new or established patient 37 37 $807.84
D1120 Prophylaxis - child 13 13 $418.08
D0210 Intraoral - complete series of radiographic images 12 12 $402.38
D1208 Topical application of fluoride, excluding varnish 18 18 $196.20