Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

QUEENSBORO DENTAL PC

NPI: 1992978126 · FLUSHING, NY 11367 · Dental Clinic/Center · NPI assigned 04/09/2008

$39K
Total Medicaid Paid
1,488
Total Claims
1,482
Beneficiaries
6
Codes Billed
2018-10
First Month
2023-02
Last Month

Provider Details

Authorized OfficialM, ROXANA (OFFICE MANAGER)
NPI Enumeration Date04/09/2008

Related Entities

Other providers sharing the same authorized official: M, ROXANA

ProviderCityStateTotal Paid
UNION TPKE MEDICAL PC FLUSHING NY $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $248.50
2019 181 $3K
2020 254 $5K
2021 371 $7K
2022 550 $12K
2023 119 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 722 719 $13K
D2751 Crown - porcelain fused to predominantly base metal 15 15 $10K
D1110 Prophylaxis - adult 242 241 $9K
D0230 Intraoral - periapical each additional radiographic image 399 398 $6K
D0210 Intraoral - complete series of radiographic images 55 54 $1K
D0272 Bitewings - two radiographic images 55 55 $617.71