DENTAL PERMANENTE OF STAMFORD
NPI: 1194100982
· STAMFORD, CT 06902
· 1223G0001X
$981K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,562 |
$194K |
| 2019 |
5,240 |
$168K |
| 2020 |
4,930 |
$174K |
| 2021 |
5,718 |
$137K |
| 2022 |
5,473 |
$127K |
| 2023 |
4,121 |
$96K |
| 2024 |
3,699 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9944 |
|
425 |
416 |
$138K |
| D0120 |
|
4,819 |
4,678 |
$113K |
| D1110 |
|
3,558 |
3,416 |
$111K |
| D1208 |
|
5,194 |
5,088 |
$105K |
| D1120 |
|
2,325 |
2,289 |
$98K |
| D0274 |
|
3,104 |
3,020 |
$96K |
| D0230 |
|
6,688 |
2,852 |
$68K |
| D0140 |
|
2,347 |
2,263 |
$64K |
| D9940 |
|
211 |
208 |
$61K |
| D0220 |
|
3,525 |
3,405 |
$40K |
| D2391 |
|
341 |
147 |
$20K |
| D0210 |
|
389 |
381 |
$19K |
| D2392 |
|
271 |
162 |
$19K |
| D0150 |
|
237 |
227 |
$10K |
| D0330 |
|
93 |
92 |
$7K |
| D9999 |
|
14 |
14 |
$6K |
| D2940 |
|
118 |
78 |
$3K |
| D2393 |
|
24 |
17 |
$2K |
| D1320 |
|
60 |
60 |
$208.39 |