Medicaid Provider Spending

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

PARK ONE DENTAL P.C.

NPI: 1801396023 · NEW HYDE PARK, NY 11040 · General Practice Dentistry · NPI assigned 02/14/2018

$22K
Total Medicaid Paid
806
Total Claims
804
Beneficiaries
7
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMUKHATIYAR, SAPAN (OWNER/ DENTIST)
NPI Enumeration Date02/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 441 $11K
2023 174 $5K
2024 191 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 321 321 $14K
D0220 Intraoral - periapical first radiographic image 180 178 $2K
D0120 Periodic oral evaluation - established patient 61 61 $1K
D0150 Comprehensive oral evaluation - new or established patient 57 57 $1K
D0274 Bitewings - four radiographic images 54 54 $1K
D0210 Intraoral - complete series of radiographic images 25 25 $1K
D0230 Intraoral - periapical each additional radiographic image 108 108 $729.86