Medicaid Provider Spending

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

RA DENTAL CARE PC

NPI: 1811739832 · RIDGEWOOD, NY 11385 · Dentist · NPI assigned 06/10/2024

$6K
Total Medicaid Paid
317
Total Claims
317
Beneficiaries
5
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAKILOV, ROMAN (PRESIDENT)
NPI Enumeration Date06/10/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 317 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 60 60 $2K
D0120 Periodic oral evaluation - established patient 63 63 $1K
D0230 Intraoral - periapical each additional radiographic image 60 60 $825.11
D0272 Bitewings - two radiographic images 60 60 $710.51
D0220 Intraoral - periapical first radiographic image 74 74 $693.32