BRIDGEPORT DENTAL GROUP INC
NPI: 1245517051
· BRIDGEPORT, CT 06605
· General Practice Dentistry
· NPI assigned 11/08/2011
$160K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,037 |
$46K |
| 2019 |
1,849 |
$44K |
| 2020 |
766 |
$16K |
| 2021 |
910 |
$19K |
| 2022 |
809 |
$17K |
| 2023 |
735 |
$15K |
| 2024 |
197 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,311 |
1,224 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
1,721 |
1,617 |
$37K |
| D0210 |
Intraoral - complete series of radiographic images |
514 |
490 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
1,575 |
1,402 |
$17K |
| D0274 |
Bitewings - four radiographic images |
394 |
368 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
511 |
471 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,015 |
712 |
$9K |
| D1120 |
Prophylaxis - child |
215 |
206 |
$9K |
| D7250 |
|
25 |
12 |
$2K |
| D2394 |
|
22 |
15 |
$2K |