DDS CATALYST COUNTRY CLUB LLC
NPI: 1255445706
· FARMINGTON, NM 87402
· General Practice Dentistry
$734K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,896 |
$224K |
| 2019 |
8,037 |
$245K |
| 2020 |
7,738 |
$259K |
| 2021 |
305 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,828 |
906 |
$117K |
| D0150 |
|
2,489 |
2,349 |
$80K |
| D7210 |
|
831 |
292 |
$73K |
| D0274 |
|
2,394 |
2,282 |
$65K |
| D9243 |
|
933 |
285 |
$62K |
| D1208 |
|
3,022 |
2,864 |
$51K |
| D1120 |
|
1,767 |
1,660 |
$51K |
| D0220 |
|
3,220 |
3,036 |
$34K |
| D1110 |
|
763 |
733 |
$31K |
| D9239 |
|
288 |
260 |
$31K |
| D0140 |
|
855 |
808 |
$24K |
| D2393 |
|
290 |
170 |
$22K |
| D0230 |
|
2,386 |
2,166 |
$20K |
| D0120 |
|
762 |
727 |
$14K |
| D2391 |
|
276 |
145 |
$13K |
| D0330 |
|
270 |
259 |
$13K |
| D4346 |
|
87 |
87 |
$10K |
| D7140 |
|
99 |
43 |
$7K |
| D9610 |
|
279 |
255 |
$6K |
| D0210 |
|
97 |
87 |
$5K |
| D4341 |
|
40 |
14 |
$5K |