Medicaid Provider Spending

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

JDS DENTAL CARE PLLC

NPI: 1922640630 · STATEN ISLAND, NY 10305 · Endodontist · NPI assigned 10/14/2019

$8K
Total Medicaid Paid
443
Total Claims
436
Beneficiaries
5
Codes Billed
2020-07
First Month
2021-04
Last Month

Provider Details

Authorized OfficialALBANESE, JOSEPH (OWNER)
NPI Enumeration Date10/14/2019

Related Entities

Other providers sharing the same authorized official: ALBANESE, JOSEPH

ProviderCityStateTotal Paid
JERSEY COAST NEPHROLOGY AND HYPERTENSION ASSOCIATES LLC BRICK NJ $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 320 $5K
2021 123 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 84 84 $3K
D0120 Periodic oral evaluation - established patient 105 104 $2K
D0220 Intraoral - periapical first radiographic image 174 170 $2K
D0230 Intraoral - periapical each additional radiographic image 68 66 $360.03
D0274 Bitewings - four radiographic images 12 12 $245.04