BLOOMFIELD AVE DENTAL, LLC
NPI: 1114650231
· NEWARK, NJ 07104
· 122300000X
$1.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
41,514 |
$1.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
8,335 |
1,432 |
$212K |
| D2392 |
|
2,011 |
1,044 |
$140K |
| D1120 |
|
3,132 |
3,028 |
$135K |
| D1206 |
|
3,458 |
3,339 |
$91K |
| D1110 |
|
1,592 |
1,556 |
$73K |
| D0150 |
|
2,505 |
2,429 |
$67K |
| D2391 |
|
737 |
431 |
$44K |
| D0120 |
|
1,444 |
1,405 |
$38K |
| D0210 |
|
497 |
480 |
$24K |
| D1208 |
|
950 |
933 |
$23K |
| D9230 |
|
1,243 |
1,116 |
$23K |
| D2930 |
|
197 |
79 |
$21K |
| D0220 |
|
3,916 |
3,705 |
$20K |
| D0274 |
|
1,391 |
1,361 |
$18K |
| D0230 |
|
5,240 |
3,428 |
$18K |
| D2393 |
|
193 |
132 |
$14K |
| D0272 |
|
1,736 |
1,670 |
$13K |
| D0603 |
|
1,224 |
1,177 |
$9K |
| D7140 |
|
106 |
62 |
$7K |
| D0601 |
|
886 |
863 |
$6K |
| D0145 |
|
243 |
237 |
$4K |
| D2332 |
|
73 |
47 |
$4K |
| D3220 |
|
46 |
25 |
$3K |
| D2330 |
|
52 |
31 |
$2K |
| D0140 |
|
116 |
110 |
$2K |
| D0602 |
|
154 |
146 |
$1K |
| D2331 |
|
21 |
15 |
$1K |
| D0330 |
|
16 |
15 |
$384.00 |