Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › CORONA › ROOSEVELT ORTHODONTICS

ROOSEVELT ORTHODONTICS

NPI: 1912256678 · CORONA, NY 11368 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/09/2012

$84K
Total Medicaid Paid
635
Total Claims
635
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialKALIMIAN, MICHAEL (OWNER)
NPI Enumeration Date09/09/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 206 $28K
2019 348 $46K
2020 81 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8670 Periodic orthodontic treatment visit 339 339 $76K
D0330 Panoramic radiographic image 100 100 $3K
D0340 65 65 $2K
D8660 51 51 $1K
D0350 80 80 $876.56