COMMONWEALTH DENTAL CLINIC
NPI: 1144641309
· ROANOKE, VA 24016
· 261QD0000X
$171K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
488 |
$9K |
| 2019 |
4,812 |
$108K |
| 2020 |
4,095 |
$29K |
| 2021 |
3,995 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
|
1,953 |
1,898 |
$49K |
| D7140 |
|
6,718 |
1,989 |
$49K |
| D0140 |
|
2,954 |
2,851 |
$41K |
| D7210 |
|
1,765 |
921 |
$31K |