PASSAIC DENTAL ASSOCIATION
NPI: 1184861114
· PASSAIC, NJ 07055
· 1223G0001X
$549K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,575 |
$90K |
| 2019 |
4,516 |
$97K |
| 2020 |
2,692 |
$45K |
| 2021 |
3,119 |
$56K |
| 2022 |
4,254 |
$68K |
| 2023 |
6,218 |
$137K |
| 2024 |
3,026 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
4,123 |
4,091 |
$91K |
| D0120 |
|
3,117 |
3,081 |
$85K |
| D2392 |
|
1,851 |
911 |
$79K |
| D4341 |
|
1,380 |
518 |
$76K |
| D2391 |
|
1,013 |
464 |
$38K |
| D0274 |
|
3,263 |
3,221 |
$26K |
| D0140 |
|
894 |
863 |
$19K |
| D0220 |
|
4,911 |
4,812 |
$19K |
| D0210 |
|
600 |
600 |
$19K |
| D0150 |
|
758 |
748 |
$19K |
| D2751 |
|
34 |
27 |
$14K |
| D7210 |
|
182 |
89 |
$11K |
| D0230 |
|
3,856 |
3,740 |
$11K |
| D0180 |
|
338 |
319 |
$11K |
| D0330 |
|
788 |
770 |
$8K |
| D1120 |
|
314 |
313 |
$7K |
| D7230 |
|
21 |
14 |
$5K |
| D2393 |
|
89 |
70 |
$4K |
| D1208 |
|
292 |
291 |
$3K |
| D2950 |
|
27 |
24 |
$2K |
| D9911 |
|
537 |
182 |
$1K |
| D9945 |
|
12 |
12 |
$360.00 |