A & B SCARSDALE DENTAL PLLC
NPI: 1942584198
· SCARSDALE, NY 10583
· General Practice Dentistry
· NPI assigned 10/06/2011
$186K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MUSHEYEV, ALEXANDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
439 |
$11K |
| 2019 |
407 |
$11K |
| 2020 |
416 |
$14K |
| 2021 |
1,368 |
$24K |
| 2022 |
2,034 |
$38K |
| 2023 |
2,154 |
$36K |
| 2024 |
2,084 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
1,558 |
1,539 |
$43K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,583 |
1,580 |
$34K |
| D1110 |
Prophylaxis - adult |
1,164 |
1,164 |
$25K |
| D9310 |
|
427 |
427 |
$15K |
| D8670 |
Periodic orthodontic treatment visit |
199 |
197 |
$15K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
161 |
96 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
979 |
817 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
990 |
990 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
499 |
499 |
$8K |
| D9243 |
|
43 |
43 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
868 |
867 |
$4K |
| D9239 |
|
43 |
43 |
$3K |
| D0274 |
Bitewings - four radiographic images |
287 |
287 |
$2K |
| D0272 |
Bitewings - two radiographic images |
89 |
89 |
$1K |
| D0350 |
|
12 |
12 |
$134.25 |