DAVIS SQUARE DENTAL SPECIALISTS LLC
NPI: 1295173334
· LAWRENCE, MA 01840
· 122300000X
$1.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,248 |
$734K |
| 2019 |
15,189 |
$963K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
|
8,293 |
879 |
$718K |
| D2392 |
|
3,636 |
875 |
$390K |
| D4210 |
|
444 |
190 |
$107K |
| D0274 |
|
2,477 |
2,411 |
$98K |
| D1110 |
|
1,592 |
1,539 |
$93K |
| D0150 |
|
1,464 |
1,413 |
$72K |
| D1208 |
|
1,965 |
1,935 |
$55K |
| D0220 |
|
2,580 |
2,508 |
$46K |
| D1120 |
|
939 |
922 |
$44K |
| D0230 |
|
2,703 |
2,479 |
$37K |
| D0120 |
|
1,195 |
1,171 |
$32K |
| D0140 |
|
149 |
132 |
$5K |