FAMILIA DENTAL RIVER GLEN LLC
NPI: 1154794584
· MILWAUKEE, WI 53212
· 1223G0001X
$2.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41,051 |
$655K |
| 2019 |
30,596 |
$435K |
| 2020 |
33,954 |
$350K |
| 2021 |
49,270 |
$450K |
| 2022 |
21,515 |
$358K |
| 2023 |
25,763 |
$486K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
7,672 |
3,751 |
$312K |
| D1351 |
|
23,376 |
2,698 |
$290K |
| D1110 |
|
11,423 |
9,397 |
$255K |
| D0150 |
|
14,401 |
11,766 |
$234K |
| D1120 |
|
11,545 |
9,868 |
$227K |
| D0274 |
|
16,671 |
13,779 |
$217K |
| D0120 |
|
13,529 |
11,656 |
$179K |
| D0220 |
|
29,503 |
24,356 |
$177K |
| D1206 |
|
15,893 |
13,791 |
$176K |
| D2391 |
|
5,168 |
2,505 |
$157K |
| D0230 |
|
32,096 |
22,184 |
$143K |
| D0272 |
|
7,596 |
6,419 |
$84K |
| D2393 |
|
1,346 |
812 |
$73K |
| D0140 |
|
4,191 |
3,449 |
$61K |
| D4355 |
|
991 |
838 |
$53K |
| D7140 |
|
1,608 |
675 |
$38K |
| D7210 |
|
396 |
244 |
$26K |
| D0210 |
|
466 |
437 |
$18K |
| D1208 |
|
840 |
590 |
$8K |
| D2394 |
|
37 |
26 |
$2K |
| D7111 |
|
45 |
28 |
$2K |
| D0270 |
|
183 |
150 |
$901.60 |
| D9110 |
|
44 |
26 |
$193.97 |
| D1999 |
|
3,014 |
1,646 |
$0.00 |
| D8670 |
|
35 |
33 |
$0.00 |
| D1330 |
|
80 |
40 |
$0.00 |