Medicaid Provider Spending

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

STATE OF NEW YORK COMPTROLLERS OFFICE

NPI: 1861551798 · BUFFALO, NY 14214 · Dental Clinic/Center · NPI assigned 12/06/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HARRIS, JAMES controls 20+ related entities in our dataset. Read more

$6.05M
Total Medicaid Paid
114,457
Total Claims
92,987
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHARRIS, JAMES (ASSISTANT DEAN)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: HARRIS, JAMES

ProviderCityStateTotal Paid
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $266.39M
SAINT MARY'S HOSPITAL, INC. WATERBURY CT $163.27M
THE MERCY HOSPITAL INC SPRINGFIELD MA $98.92M
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT $41.97M
RIVERBEND MEDICAL GROUP, INC. SPRINGFIELD MA $38.70M
SYSTEM COORDINATED SERVICES, INC SPRINGFIELD MA $18.54M
BRIGHTSIDE INC SPRINGFIELD MA $11.41M
THE MERCY HOSPITAL INC HOLYOKE MA $10.93M
MERCY INPATIENT MEDICAL ASSOCIATES INC. SPRINGFIELD MA $6.96M
SAINT FRANCIS CARE MEDICAL GROUP, PC HARTFORD CT $2.00M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $1.42M
PIONEER VALLEY CARDIOLOGY ASSOCIATES, INC SPRINGFIELD MA $1.31M
MERCY MEDICAL GROUP, INC. SPRINGFIELD MA $1.08M
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $382K
PRATER VOLUNTEER RESCUE SQUAD INC GRUNDY VA $331K
DIABETES AND LIFESTYLE MANAGEMENT, LLC DERRY NH $273K
MERCY SPECIALIST PHYSICIANS INC SPRINGFIELD MA $101K
HEALTH ACCESS, INC. CLARKSBURG WV $85K
GIBSON COUNTY PODIATRY LLC MILAN TN $83K
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD CT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,549 $1.38M
2019 17,260 $956K
2020 6,797 $355K
2021 14,146 $762K
2022 19,175 $1.00M
2023 17,889 $884K
2024 14,641 $711K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 32,341 27,347 $4.67M
D9999 Unspecified adjunctive procedure, by report 3,231 2,733 $442K
D0120 Periodic oral evaluation - established patient 9,857 7,319 $138K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4,328 3,140 $102K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 4,144 3,257 $99K
D7140 Extraction, erupted tooth or exposed root 5,314 3,150 $69K
D0150 Comprehensive oral evaluation - new or established patient 5,696 4,415 $67K
D0272 Bitewings - two radiographic images 3,652 2,400 $58K
D1120 Prophylaxis - child 5,171 4,093 $57K
D1351 Sealant - per tooth 2,669 1,106 $55K
D0330 Panoramic radiographic image 3,867 3,042 $44K
D8670 Periodic orthodontic treatment visit 228 227 $43K
D1110 Prophylaxis - adult 5,380 4,983 $31K
D0140 Limited oral evaluation - problem focused 5,516 5,241 $24K
D0220 Intraoral - periapical first radiographic image 5,214 4,729 $23K
D2330 681 456 $18K
D1206 Topical application of fluoride varnish 2,359 2,035 $17K
D0274 Bitewings - four radiographic images 2,787 2,455 $17K
D2331 835 650 $16K
D5110 219 156 $10K
D0210 Intraoral - complete series of radiographic images 1,437 1,343 $9K
D0190 258 112 $7K
D0603 257 121 $6K
D0191 1,563 1,469 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 386 357 $6K
D1208 Topical application of fluoride, excluding varnish 2,346 2,283 $3K
D0230 Intraoral - periapical each additional radiographic image 1,067 981 $3K
D0340 57 57 $2K
D4342 160 96 $2K
D8660 58 58 $2K
D2335 49 40 $1K
D2332 48 39 $1K
D4341 77 37 $956.10
D0350 58 58 $682.70
D5214 22 14 $358.61
D3310 52 45 $342.08
D4910 12 12 $239.04
D0145 Oral evaluation for a patient under three years of age 46 44 $168.58
D1320 120 120 $0.00
D9310 496 492 $0.00
D7111 496 461 $0.00
D1330 15 15 $0.00
D5120 31 25 $0.00
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 38 38 $0.00
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 13 13 $0.00
D0240 12 12 $0.00
D9110 216 213 $0.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,259 1,208 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 196 168 $0.00
D2930 Prefabricated stainless steel crown - primary tooth 99 98 $0.00
D0270 24 24 $0.00