SOUTH END DENTAL CENTER PC
NPI: 1114223856
· STAMFORD, CT 06902
· 1223G0001X
$1.49M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,217 |
$222K |
| 2019 |
6,893 |
$243K |
| 2020 |
5,139 |
$167K |
| 2021 |
7,382 |
$196K |
| 2022 |
5,989 |
$213K |
| 2023 |
6,519 |
$223K |
| 2024 |
6,004 |
$225K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,944 |
2,431 |
$367K |
| D0120 |
|
6,212 |
5,779 |
$157K |
| D1120 |
|
3,469 |
3,334 |
$148K |
| D2391 |
|
2,528 |
1,241 |
$147K |
| D0274 |
|
3,847 |
3,556 |
$119K |
| D1110 |
|
3,145 |
2,839 |
$98K |
| D1208 |
|
3,246 |
3,116 |
$87K |
| D0230 |
|
6,937 |
4,421 |
$77K |
| D0140 |
|
2,018 |
1,740 |
$53K |
| D0330 |
|
1,177 |
938 |
$50K |
| D0220 |
|
4,107 |
3,600 |
$48K |
| D7210 |
|
624 |
222 |
$35K |
| D2393 |
|
382 |
240 |
$31K |
| D2332 |
|
328 |
88 |
$29K |
| D0150 |
|
441 |
388 |
$16K |
| D2150 |
|
251 |
163 |
$13K |
| D0210 |
|
271 |
255 |
$7K |
| D0272 |
|
144 |
141 |
$4K |
| D2160 |
|
31 |
24 |
$2K |
| D2140 |
|
41 |
29 |
$2K |