BERGENLINE DENTAL GROUP
NPI: 1043477565
· UNION CITY, NJ 07087
· General Practice Dentistry
· NPI assigned 05/21/2008
$294K
Total Medicaid Paid
Provider Details
| Authorized Official | FUENTES, PETER (OWNER/PRESIDENT) |
| NPI Enumeration Date | 05/21/2008 |
Related Entities
Other providers sharing the same authorized official: FUENTES, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,516 |
$111K |
| 2019 |
7,875 |
$100K |
| 2020 |
3,187 |
$35K |
| 2021 |
4,530 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
4,148 |
4,148 |
$58K |
| D0120 |
|
3,384 |
3,383 |
$54K |
| D2392 |
|
1,568 |
1,101 |
$40K |
| D0150 |
|
2,215 |
2,215 |
$34K |
| D0210 |
|
1,036 |
1,036 |
$27K |
| D1120 |
|
1,271 |
1,271 |
$21K |
| D2391 |
|
670 |
463 |
$18K |
| D0274 |
|
2,607 |
2,606 |
$11K |
| D1206 |
|
1,537 |
1,537 |
$8K |
| D0330 |
|
1,225 |
1,225 |
$7K |
| D0140 |
|
296 |
284 |
$4K |
| D2740 |
|
16 |
15 |
$3K |
| D0603 |
|
315 |
315 |
$2K |
| D1208 |
|
522 |
522 |
$2K |
| D0220 |
|
869 |
843 |
$2K |
| D2393 |
|
51 |
40 |
$2K |
| D0272 |
|
250 |
250 |
$895.00 |
| D4341 |
|
29 |
12 |
$735.00 |
| D7140 |
|
18 |
12 |
$576.00 |
| D2331 |
|
16 |
12 |
$440.00 |
| D0230 |
|
65 |
64 |
$111.00 |