MARINA DENTAL PC
NPI: 1982777959
· NEW YORK, NY 10032
· Dental Clinic/Center
· NPI assigned 11/16/2006
$278K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,084 |
$32K |
| 2019 |
1,970 |
$31K |
| 2020 |
1,822 |
$36K |
| 2021 |
2,542 |
$48K |
| 2022 |
2,473 |
$47K |
| 2023 |
2,562 |
$46K |
| 2024 |
2,147 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,768 |
2,768 |
$91K |
| D0120 |
Periodic oral evaluation - established patient |
3,410 |
3,410 |
$64K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,942 |
2,854 |
$47K |
| D0220 |
Intraoral - periapical first radiographic image |
3,155 |
3,141 |
$29K |
| D0210 |
Intraoral - complete series of radiographic images |
2,082 |
2,082 |
$22K |
| D2140 |
|
420 |
378 |
$15K |
| D0272 |
Bitewings - two radiographic images |
728 |
728 |
$8K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
71 |
67 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$340.40 |
| D1203 |
|
12 |
12 |
$0.00 |