Medicaid Provider Spending

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

NPI: 1902338064 · WHITE PLAINS, NY 10601 · Public Health Dentist · NPI assigned 03/29/2017

$5K
Total Medicaid Paid
211
Total Claims
211
Beneficiaries
5
Codes Billed
2018-04
First Month
2020-02
Last Month

Provider Details

Authorized OfficialPOZNYANSKY, ERIC (D.D.S.)
NPI Enumeration Date03/29/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $636.30
2019 165 $3K
2020 31 $699.71

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 90 90 $2K
D1120 Prophylaxis - child 57 57 $2K
D1110 Prophylaxis - adult 15 15 $636.30
D1208 Topical application of fluoride, excluding varnish 37 37 $430.80
D0150 Comprehensive oral evaluation - new or established patient 12 12 $251.96