THE BEDSIDE DENTIST LLC
NPI: 1316224215
· ELIZABETH, NJ 07201
· General Practice Dentistry
· NPI assigned 11/07/2011
$235K
Total Medicaid Paid
Provider Details
| Authorized Official | LIEBERMAN, MARK (MANAGER) |
| NPI Enumeration Date | 11/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,359 |
$34K |
| 2019 |
2,760 |
$36K |
| 2020 |
1,781 |
$21K |
| 2021 |
2,469 |
$28K |
| 2022 |
2,521 |
$36K |
| 2023 |
2,205 |
$38K |
| 2024 |
2,364 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
6,458 |
6,440 |
$82K |
| D9410 |
|
3,426 |
3,132 |
$56K |
| D1110 |
Prophylaxis - adult |
3,677 |
3,666 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,748 |
2,745 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
77 |
77 |
$863.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
30 |
$467.75 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$144.70 |