DENTAL SPECIALTY ASSOCIATES
NPI: 1114180320
· GILBERT, AZ 85295
· Multi-Specialty Clinic/Center
· NPI assigned 07/08/2008
$795K
Total Medicaid Paid
Provider Details
| Authorized Official | LILIEN, BRIAN (OWNER) |
| NPI Enumeration Date | 07/08/2008 |
Related Entities
Other providers sharing the same authorized official: LILIEN, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,434 |
$69K |
| 2019 |
3,474 |
$96K |
| 2020 |
3,877 |
$114K |
| 2021 |
4,839 |
$186K |
| 2022 |
3,571 |
$189K |
| 2023 |
2,549 |
$96K |
| 2024 |
1,577 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,958 |
1,176 |
$320K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,279 |
2,118 |
$171K |
| D0140 |
Limited oral evaluation - problem focused |
6,918 |
6,462 |
$90K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,609 |
636 |
$65K |
| D9222 |
|
1,986 |
1,882 |
$62K |
| D0330 |
Panoramic radiographic image |
3,388 |
3,064 |
$55K |
| D7230 |
|
162 |
108 |
$19K |
| D0220 |
Intraoral - periapical first radiographic image |
980 |
890 |
$4K |
| D7220 |
|
47 |
26 |
$4K |
| D7250 |
|
93 |
38 |
$3K |
| D7241 |
|
31 |
16 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
496 |
442 |
$2K |
| D1110 |
Prophylaxis - adult |
29 |
28 |
$181.58 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$129.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$53.98 |
| D1999 |
|
308 |
280 |
$5.87 |