HARBORBAY DENTAL
NPI: 1932489192
· BAY SHORE, NY 11706
· General Practice Dentistry
· NPI assigned 08/19/2011
$112K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,010 |
$19K |
| 2019 |
1,062 |
$19K |
| 2020 |
869 |
$15K |
| 2021 |
1,444 |
$28K |
| 2022 |
1,346 |
$28K |
| 2023 |
146 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,218 |
1,218 |
$46K |
| D0120 |
Periodic oral evaluation - established patient |
1,092 |
1,091 |
$22K |
| D0274 |
Bitewings - four radiographic images |
872 |
872 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
1,349 |
1,340 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,034 |
1,031 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
131 |
128 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
167 |
167 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$129.87 |