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ROBERT TEISCH & JOSEPH A SIMONETTI AND ROBERT DOMOZYCH DDS PC
ROBERT TEISCH & JOSEPH A SIMONETTI AND ROBERT DOMOZYCH DDS PC
NPI: 1821008160
· EAST ISLIP, NY 11730
· 261QD0000X
$427K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,939 |
$46K |
| 2019 |
2,382 |
$55K |
| 2020 |
2,622 |
$59K |
| 2021 |
2,769 |
$61K |
| 2022 |
2,333 |
$65K |
| 2023 |
2,395 |
$89K |
| 2024 |
1,952 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,609 |
3,603 |
$159K |
| D0120 |
|
4,420 |
4,415 |
$99K |
| D2750 |
|
114 |
93 |
$53K |
| D0220 |
|
3,537 |
3,515 |
$38K |
| D0230 |
|
3,025 |
3,021 |
$38K |
| D0274 |
|
1,156 |
1,156 |
$26K |
| D0210 |
|
175 |
174 |
$7K |
| D1208 |
|
204 |
204 |
$2K |
| D2392 |
|
25 |
13 |
$2K |
| D2391 |
|
26 |
13 |
$1K |
| D2150 |
|
13 |
13 |
$1K |
| D0140 |
|
40 |
39 |
$430.60 |
| D1120 |
|
12 |
12 |
$394.70 |
| D1320 |
|
12 |
12 |
$88.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| D1330 |
|
12 |
12 |
$0.00 |