Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PALISADES PARK
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PARK, JENNIFER
NPI: 1205318060 · PALISADES PARK, NJ 07650 ·
General Practice Dentistry
· NPI assigned 08/29/2018
$970.00
Total Medicaid Paid
71
Total Claims
71
Beneficiaries
4
Codes Billed
2020-01
First Month
2020-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
71
$970.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
Prophylaxis - adult
21
21
$450.00
D0140
Limited oral evaluation - problem focused
20
20
$450.00
D0220
Intraoral - periapical first radiographic image
17
17
$40.00
D0230
Intraoral - periapical each additional radiographic image
13
13
$30.00