GREENTREE DENTAL DRS LLC
NPI: 1144645433
· MARLTON, NJ 08053
· Dentist
· NPI assigned 02/24/2014
$6.17M
Total Medicaid Paid
Provider Details
| Authorized Official | EDENBAUM, DAVID (PARTNER) |
| NPI Enumeration Date | 02/24/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,968 |
$571K |
| 2019 |
9,164 |
$809K |
| 2020 |
8,404 |
$780K |
| 2021 |
13,793 |
$1.43M |
| 2022 |
15,359 |
$1.20M |
| 2023 |
11,336 |
$769K |
| 2024 |
6,261 |
$602K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
12,504 |
6,981 |
$1.39M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
15,210 |
5,799 |
$1.29M |
| D7240 |
Removal of impacted tooth - completely bony |
3,622 |
1,532 |
$1.04M |
| D9222 |
|
7,093 |
6,830 |
$522K |
| D7230 |
|
1,802 |
1,096 |
$491K |
| D7250 |
|
4,909 |
1,790 |
$402K |
| D7241 |
|
946 |
500 |
$273K |
| D0330 |
Panoramic radiographic image |
9,254 |
8,919 |
$246K |
| D0140 |
Limited oral evaluation - problem focused |
9,743 |
9,386 |
$241K |
| D7510 |
|
2,044 |
1,959 |
$134K |
| D7260 |
|
243 |
216 |
$58K |
| D9430 |
|
1,755 |
1,555 |
$38K |
| D7311 |
|
466 |
272 |
$33K |
| D7310 |
|
60 |
25 |
$9K |
| D9610 |
|
1,620 |
1,591 |
$3K |
| D1999 |
|
14 |
14 |
$0.00 |