Medicaid Provider Spending

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

NORA FAMILY DENTA

NPI: 1831486067 · HOLLIS, NY 11423 · Dentist · NPI assigned 07/08/2011

$6K
Total Medicaid Paid
539
Total Claims
539
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMOUNESSA, FLORA (DENTIST)
NPI Enumeration Date07/08/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 241 $3K
2019 39 $354.96
2020 51 $737.19
2021 119 $1K
2023 89 $804.59

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 122 122 $2K
D0220 Intraoral - periapical first radiographic image 167 167 $1K
D1110 Prophylaxis - adult 39 39 $1K
D0230 Intraoral - periapical each additional radiographic image 183 183 $889.26
D0120 Periodic oral evaluation - established patient 28 28 $479.30