COSMOPOLITAN DENTAL, LLC
NPI: 1104143478
· MARLTON, NJ 08053
· Dentist
· NPI assigned 04/27/2010
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | CHEW, DENNIS (OWNER) |
| NPI Enumeration Date | 04/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
207 |
$7K |
| 2019 |
128 |
$4K |
| 2020 |
459 |
$7K |
| 2021 |
569 |
$15K |
| 2022 |
871 |
$20K |
| 2023 |
1,356 |
$49K |
| 2024 |
935 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,350 |
1,314 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
1,109 |
1,065 |
$26K |
| D2750 |
|
42 |
29 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
175 |
147 |
$6K |
| D0274 |
Bitewings - four radiographic images |
353 |
339 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
609 |
550 |
$3K |
| D2950 |
|
38 |
27 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
63 |
26 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
81 |
69 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$585.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$540.00 |
| D9211 |
|
209 |
168 |
$27.00 |
| D9210 |
|
197 |
158 |
$0.00 |
| D1999 |
|
273 |
217 |
$0.00 |