Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › JOHNSON CITY › OAKDALE MALL DENTAL LLP

OAKDALE MALL DENTAL LLP

NPI: 1801156674 · JOHNSON CITY, NY 13790 · Dentist · NPI assigned 05/25/2012

$40K
Total Medicaid Paid
2,221
Total Claims
2,208
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSS (OWNER)
NPI Enumeration Date05/25/2012

Related Entities

Other providers sharing the same authorized official: KRASNOV, ROSS

ProviderCityStateTotal Paid
BRASS MILL MALL DENTAL L.L.P WATERBURY CT $1.26M
TOWN CENTER DENTAL OF STAMFORD P.C. STAMFORD CT $554K
STATEN ISLAND MALL DENTAL, P.C. STATEN ISLAND NY $289K
HUDSON VALLEY PLAZA DENTAL LLP TROY NY $278K
HUDSON VALLEY MALL DENTAL LLP KINGSTON NY $132K
42ND STREET DENTAL, ASSOCIATES NEW YORK NY $112K
ATLANTIC TERMINAL DENTAL, P.C. BROOKLYN NY $81K
GALLERIA MALL DENTAL PC WHITE PLAINS NY $72K
PALISADES MALL DENTAL LLP WEST NYACK NY $55K
GALLERIA MALL DENTAL PC MIDDLETOWN NY $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 177 $4K
2019 361 $11K
2020 353 $9K
2021 219 $2K
2022 631 $3K
2023 384 $8K
2024 96 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 740 740 $28K
D0220 Intraoral - periapical first radiographic image 866 858 $7K
D0230 Intraoral - periapical each additional radiographic image 415 412 $4K
D0274 Bitewings - four radiographic images 43 42 $395.86
D0140 Limited oral evaluation - problem focused 48 48 $392.00
D0120 Periodic oral evaluation - established patient 85 84 $352.12
D0272 Bitewings - two radiographic images 24 24 $184.00