MONTEFIORE DENTAL DEPARTMENT
NPI: 1801092341
· BRONX, NY 10461
· Dentist
· NPI assigned 06/22/2007
$1.63M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BROCKETT, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,765 |
$252K |
| 2019 |
2,462 |
$252K |
| 2020 |
2,137 |
$248K |
| 2021 |
2,635 |
$182K |
| 2022 |
2,480 |
$178K |
| 2023 |
3,159 |
$234K |
| 2024 |
3,872 |
$285K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
5,685 |
5,642 |
$1.22M |
| D8660 |
|
3,635 |
3,632 |
$105K |
| D0340 |
|
2,098 |
2,098 |
$98K |
| D0330 |
Panoramic radiographic image |
2,619 |
2,618 |
$86K |
| D0470 |
|
2,070 |
2,069 |
$65K |
| D0350 |
|
3,015 |
3,013 |
$34K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
12 |
12 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
356 |
356 |
$9K |
| D8680 |
|
20 |
20 |
$3K |