Medicaid Provider Spending

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

ROCKAWAY DENTAL ASSOCIATES, PC

NPI: 1902125495 · SOUTH OZONE PARK, NY 11420 · Dental Clinic/Center · NPI assigned 05/23/2010

$38K
Total Medicaid Paid
1,601
Total Claims
1,601
Beneficiaries
8
Codes Billed
2018-04
First Month
2023-10
Last Month

Provider Details

Authorized OfficialBEHM, THOMAS (DENTIST)
NPI Enumeration Date05/23/2010

Related Entities

Other providers sharing the same authorized official: BEHM, THOMAS

ProviderCityStateTotal Paid
PEEKSKILL DENTAL ASSOCIATES PC PEEKSKILL NY $150K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 269 $6K
2019 523 $13K
2020 309 $7K
2021 261 $5K
2022 158 $4K
2023 81 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 584 584 $21K
D0120 Periodic oral evaluation - established patient 278 278 $5K
D0274 Bitewings - four radiographic images 190 190 $4K
D0220 Intraoral - periapical first radiographic image 243 243 $3K
D0210 Intraoral - complete series of radiographic images 90 90 $2K
D0150 Comprehensive oral evaluation - new or established patient 95 95 $2K
D0230 Intraoral - periapical each additional radiographic image 109 109 $1K
D1208 Topical application of fluoride, excluding varnish 12 12 $210.00