COARM-SELDEN DENTAL GROUP
NPI: 1295830594
· SELDEN, NY 11784
· General Practice Dentistry
· NPI assigned 09/13/2006
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | KANE, GEORGE (PARTNER) |
| NPI Enumeration Date | 09/13/2006 |
Related Entities
Other providers sharing the same authorized official: KANE, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
524 |
$12K |
| 2019 |
868 |
$21K |
| 2020 |
1,675 |
$36K |
| 2021 |
1,192 |
$28K |
| 2022 |
647 |
$18K |
| 2023 |
328 |
$10K |
| 2024 |
72 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,647 |
1,645 |
$60K |
| D0210 |
Intraoral - complete series of radiographic images |
604 |
600 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
970 |
968 |
$20K |
| D0220 |
Intraoral - periapical first radiographic image |
1,076 |
1,065 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
446 |
446 |
$10K |
| D0274 |
Bitewings - four radiographic images |
126 |
126 |
$3K |
| D9310 |
|
43 |
43 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
213 |
213 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
62 |
60 |
$609.90 |
| D1999 |
|
119 |
106 |
$0.00 |