Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › EAST ISLIP › EAST MAIN STREET DENTAL PC

EAST MAIN STREET DENTAL PC

NPI: 1962060137 · EAST ISLIP, NY 11730 · Dental Clinic/Center · NPI assigned 06/03/2019

$143K
Total Medicaid Paid
6,089
Total Claims
6,018
Beneficiaries
9
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRAMBARRAN, MAHADEO (PRESIDENT/DENTIST)
NPI Enumeration Date06/03/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 122 $2K
2021 1,360 $30K
2022 1,869 $45K
2023 1,705 $40K
2024 1,033 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 1,322 1,322 $62K
D0274 895 895 $21K
D0220 1,304 1,294 $15K
D0120 621 621 $15K
D0150 594 594 $15K
D0230 996 994 $7K
D2391 121 68 $5K
D0140 223 218 $3K
D2392 13 12 $971.82