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NPI 1194715425 · Spring Valley, NY · General Practice Dentistry
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Juan Espaillat is a general practice dentistry provider located in Spring Valley, New York. This profile covers 5 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Juan Espaillat |
| Address | 286 N Main St Ste 101 |
| City | Spring Valley |
| State | NY |
| ZIP | 10977 |
| Taxonomy | General Practice Dentistry |
| NPI Enumerated | October 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $245.9K |
| Medicare | $188.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 21215 | The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to… | 30 | $2,970 | $100.8K |
| 21127 | The provider enlarges the lower jaw by applying bone graft material on top of the jaw bone to build it up or by inserting the graft material into layers of the bony tissue of the jaw. She performs… | 30 | $1,940 | $65.8K |
| 21209 | The provider surgically repairs and or alters the facial bones by osteoplasty, surgically incising the bone, to reduce the size of the bony structures. He performs this procedure to correct defects… | 30 | $390 | $10.2K |
| 21198 | A provider performs a mandibular osteotomy, incising the mandible, or lower jaw, and moving portions of the bone to correct facial deformities, congenital or acquired, such as a misaligned jaw. | 20 | $490 | $7.8K |
| 10120 | The provider removes a foreign body such as a thorn, piece of wood, sliver of glass or fishook, from the lower layer of skin. | 50 | $70 | $3.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 1,750 | $40 | $73.3K |
| D0120 | Periodic oral evaluation - established patient | 2,150 | $20 | $51.7K |
| D0220 | Intraoral - periapical first radiographic image | 2,520 | $20 | $40.3K |
| D0274 | N/A | 1,520 | $20 | $36.5K |
| D1120 | Prophylaxis–child | 500 | $30 | $16.1K |
| D1208 | Topical application of fluoride - excluding varnish | 1,330 | $10 | $15.9K |
| D0272 | N/A | 350 | $10 | $4.9K |
| D0150 | Comprehensive oral evaluation – new or established patient | 150 | $20 | $3.5K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 60 | $30 | $1.7K |
| D0210 | Intraoral - complete series of radiographic images | 40 | $40 | $1.6K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D1120 | Prophylaxis–child | 1,105 | 2,660 | 310 | $40 | $80.8K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 1,153 | 4,250 | 550 | $40 | $72.8K |
| D0120 | Periodic oral evaluation - established patient | 1,212 | 4,610 | 650 | $30 | $68.9K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 947 | 1,270 | 290 | $30 | $48K |
| D0274 | N/A | 797 | 3,440 | 360 | $20 | $30.3K |
| D0150 | Comprehensive oral evaluation – new or established patient | 1,544 | 2,770 | 210 | $30 | $25.7K |
| D0272 | N/A | 807 | 1,740 | 300 | $10 | $23.9K |
| D1208 | Topical application of fluoride - excluding varnish | 670 | 2,830 | 280 | $10 | $22.7K |
| D0220 | Intraoral - periapical first radiographic image | 716 | 3,860 | 440 | $10 | $21K |
| D0210 | Intraoral - complete series of radiographic images | 1,563 | 1,970 | 230 | $20 | $19.2K |
Showing 1–10 of 12
Other providers in the same ZIP code as Juan Espaillat, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hamaspik Care, Inc. | NY | Home Health Agency | $0 | $274.1M |
| Marquis Home Care, LLC | NY | Home Health Agency | $0 | $146.8M |
| Refuah Health Center Inc | NY | Federally Qualified Health Center (FQHC) | $0 | $115.1M |
| Yedei Chesed Inc | NY | Child Intellectual and/or Developmental Disabilities Respite Care | $0 | $25.5M |
| Spring Hill Comm Ambulance Co | NY | Ambulance | $719K | $3.1M |
| Vikram Shah | NY | Internal Medicine Physician | $830.8K | $131.3K |
| Mitchell Trestman | NY | Physical Therapist | $338.3K | $0 |
| Jerrold Schwartz | NY | Internal Medicine Physician | $51.6K | $0 |
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