DR DAVID J HERMAN'S FOUR CORNERS DENTAL, LLC
NPI: 1255753976
· FARMINGTON, NM 87401
· 122300000X
$1.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,770 |
$236K |
| 2019 |
10,492 |
$253K |
| 2020 |
6,981 |
$154K |
| 2021 |
7,150 |
$169K |
| 2022 |
6,709 |
$171K |
| 2023 |
5,193 |
$125K |
| 2024 |
3,786 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0274 |
|
7,303 |
7,084 |
$210K |
| D1110 |
|
4,209 |
4,100 |
$174K |
| D0230 |
|
12,378 |
7,428 |
$145K |
| D0150 |
|
4,134 |
3,994 |
$143K |
| D1208 |
|
6,356 |
6,184 |
$108K |
| D0220 |
|
7,855 |
7,601 |
$90K |
| D1120 |
|
2,564 |
2,491 |
$79K |
| D2392 |
|
861 |
534 |
$73K |
| D4346 |
|
585 |
572 |
$58K |
| D0120 |
|
1,556 |
1,531 |
$36K |
| D0140 |
|
1,141 |
1,094 |
$34K |
| D1351 |
|
861 |
190 |
$22K |
| D2393 |
|
121 |
89 |
$14K |
| D0330 |
|
107 |
105 |
$5K |
| D2391 |
|
50 |
26 |
$3K |