COOK, MATTHEW
NPI: 1801901004
· OWEGO, NY 13827
· Dentist
· NPI assigned 08/20/2006
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
505 |
$16K |
| 2019 |
725 |
$24K |
| 2020 |
526 |
$17K |
| 2021 |
467 |
$16K |
| 2022 |
418 |
$13K |
| 2023 |
278 |
$9K |
| 2024 |
118 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,192 |
1,188 |
$53K |
| D0120 |
Periodic oral evaluation - established patient |
1,403 |
1,399 |
$34K |
| D0274 |
Bitewings - four radiographic images |
312 |
312 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
27 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
19 |
12 |
$1K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
52 |
$735.00 |