C&S FAMILY DENTAL WATERBURY, LLC
NPI: 1306346457
· WATERBURY, CT 06708
· General Practice Dentistry
· NPI assigned 02/15/2018
$1.06M
Total Medicaid Paid
Provider Details
| Authorized Official | CHOI, BOHUN (DENTIST) |
| NPI Enumeration Date | 02/15/2018 |
Related Entities
Other providers sharing the same authorized official: CHOI, BOHUN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,064 |
$159K |
| 2019 |
4,286 |
$135K |
| 2020 |
3,304 |
$91K |
| 2021 |
4,243 |
$130K |
| 2022 |
5,912 |
$177K |
| 2023 |
6,153 |
$200K |
| 2024 |
5,396 |
$167K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
4,222 |
3,242 |
$143K |
| D0274 |
|
4,019 |
3,851 |
$127K |
| D1208 |
|
5,645 |
5,390 |
$114K |
| D1110 |
|
3,368 |
3,175 |
$114K |
| D1120 |
|
2,268 |
2,212 |
$98K |
| D0330 |
|
1,747 |
1,551 |
$90K |
| D2392 |
|
867 |
505 |
$64K |
| D0140 |
|
2,214 |
2,032 |
$63K |
| D0120 |
|
2,292 |
2,210 |
$61K |
| D0220 |
|
3,351 |
3,146 |
$40K |
| D2391 |
|
647 |
333 |
$36K |
| D1351 |
|
702 |
154 |
$27K |
| D0210 |
|
468 |
450 |
$22K |
| D0230 |
|
1,988 |
1,206 |
$22K |
| D7140 |
|
111 |
52 |
$9K |
| D2150 |
|
145 |
96 |
$8K |
| D2393 |
|
66 |
49 |
$6K |
| D7210 |
|
71 |
38 |
$5K |
| D2140 |
|
87 |
61 |
$5K |
| D7250 |
|
37 |
17 |
$4K |
| D2160 |
|
19 |
12 |
$2K |
| D0272 |
|
24 |
24 |
$689.92 |