GROWING SMILES OF HAVRE DE GRACE LLC
NPI: 1033618780
· BEL AIR, MD 21015
· Dental Clinic/Center
· NPI assigned 02/08/2018
$170K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA-ROCHA, JENNY (SENIOR CREDENTIALING TEAM LEAD) |
| NPI Enumeration Date | 02/08/2018 |
Related Entities
Other providers sharing the same authorized official: GARCIA-ROCHA, JENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$4K |
| 2019 |
910 |
$28K |
| 2020 |
642 |
$20K |
| 2021 |
1,075 |
$33K |
| 2022 |
1,125 |
$35K |
| 2023 |
1,524 |
$41K |
| 2024 |
335 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,660 |
1,634 |
$70K |
| D1206 |
Topical application of fluoride varnish |
2,035 |
2,004 |
$49K |
| D0120 |
Periodic oral evaluation - established patient |
1,407 |
1,392 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
66 |
$3K |
| D0272 |
Bitewings - two radiographic images |
199 |
198 |
$3K |
| D1330 |
|
274 |
264 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
77 |
76 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$604.80 |