MONTCLAIR PLAZA DENTAL GROUP
NPI: 1134332703
· MONTCLAIR, CA 91763
· 1223P0221X
$387K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,305 |
$100K |
| 2019 |
7,191 |
$138K |
| 2020 |
4,600 |
$91K |
| 2021 |
3,175 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,059 |
2,056 |
$84K |
| D2392 |
|
997 |
512 |
$65K |
| D1120 |
|
2,167 |
2,137 |
$63K |
| D0230 |
|
9,547 |
2,383 |
$39K |
| D0150 |
|
541 |
537 |
$31K |
| D1208 |
|
2,243 |
2,235 |
$22K |
| D0274 |
|
1,026 |
1,024 |
$21K |
| D0220 |
|
1,166 |
1,157 |
$13K |
| D1110 |
|
132 |
131 |
$11K |
| D2391 |
|
199 |
113 |
$11K |
| D0210 |
|
178 |
175 |
$8K |
| D1351 |
|
340 |
82 |
$7K |
| D9230 |
|
167 |
144 |
$7K |
| D9430 |
|
98 |
95 |
$3K |
| D0272 |
|
106 |
106 |
$1K |
| D0350 |
|
115 |
51 |
$1K |
| D0240 |
|
19 |
15 |
$180.00 |
| D1999 |
|
171 |
171 |
$0.00 |