Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › 42ND STREET DENTAL, ASSOCIATES

42ND STREET DENTAL, ASSOCIATES

NPI: 1992841449 · NEW YORK, NY 10036 · General Practice Dentistry · NPI assigned 01/30/2007

$112K
Total Medicaid Paid
17,945
Total Claims
17,923
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKRASNOV, ROSS (ADMINISTRATOR)
NPI Enumeration Date01/30/2007

Related Entities

Other providers sharing the same authorized official: KRASNOV, ROSS

ProviderCityStateTotal Paid
BRASS MILL MALL DENTAL L.L.P WATERBURY CT $1.26M
TOWN CENTER DENTAL OF STAMFORD P.C. STAMFORD CT $554K
STATEN ISLAND MALL DENTAL, P.C. STATEN ISLAND NY $289K
HUDSON VALLEY PLAZA DENTAL LLP TROY NY $278K
HUDSON VALLEY MALL DENTAL LLP KINGSTON NY $132K
ATLANTIC TERMINAL DENTAL, P.C. BROOKLYN NY $81K
GALLERIA MALL DENTAL PC WHITE PLAINS NY $72K
PALISADES MALL DENTAL LLP WEST NYACK NY $55K
OAKDALE MALL DENTAL LLP JOHNSON CITY NY $40K
GALLERIA MALL DENTAL PC MIDDLETOWN NY $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,816 $8K
2019 2,842 $13K
2020 2,609 $12K
2021 3,050 $22K
2022 2,388 $18K
2023 2,930 $20K
2024 2,310 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 3,231 3,231 $44K
D0120 Periodic oral evaluation - established patient 3,941 3,941 $27K
D0274 Bitewings - four radiographic images 2,699 2,698 $20K
D0220 Intraoral - periapical first radiographic image 4,410 4,396 $14K
D0230 Intraoral - periapical each additional radiographic image 3,091 3,088 $5K
D0140 Limited oral evaluation - problem focused 375 371 $1K
D0330 Panoramic radiographic image 49 49 $555.45
D1120 Prophylaxis - child 26 26 $101.39
D0272 Bitewings - two radiographic images 60 60 $79.52
D1208 Topical application of fluoride, excluding varnish 63 63 $78.70