SHORELINE MODERN DENTAL LLC
NPI: 1134477532
· OLD SAYBROOK, CT 06475
· 1223G0001X
$950K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,861 |
$133K |
| 2019 |
3,823 |
$135K |
| 2020 |
3,800 |
$112K |
| 2021 |
4,596 |
$150K |
| 2022 |
4,853 |
$174K |
| 2023 |
4,786 |
$159K |
| 2024 |
2,385 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,601 |
2,098 |
$205K |
| D1110 |
|
4,653 |
4,263 |
$139K |
| D2391 |
|
2,752 |
1,522 |
$128K |
| D0274 |
|
3,713 |
3,402 |
$96K |
| D0120 |
|
3,825 |
3,593 |
$79K |
| D0140 |
|
2,443 |
2,206 |
$59K |
| D2393 |
|
682 |
483 |
$49K |
| D0150 |
|
1,737 |
1,528 |
$47K |
| D0210 |
|
1,083 |
994 |
$44K |
| D1120 |
|
718 |
666 |
$28K |
| D2331 |
|
391 |
227 |
$23K |
| D1208 |
|
697 |
627 |
$16K |
| D0220 |
|
1,522 |
1,381 |
$15K |
| D2330 |
|
151 |
82 |
$7K |
| D2332 |
|
75 |
51 |
$7K |
| D2791 |
|
15 |
12 |
$6K |
| D2940 |
|
30 |
25 |
$803.00 |
| D0330 |
|
16 |
13 |
$396.72 |