BRIDGEWATER-GREENBROOK DENTAL L.L.P
NPI: 1326251307
· GREEN BROOK, NJ 08812
· General Practice Dentistry
· NPI assigned 05/07/2007
$152K
Total Medicaid Paid
Provider Details
| Authorized Official | BLOOM, JAY (PARTNER) |
| NPI Enumeration Date | 05/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
680 |
$18K |
| 2019 |
428 |
$12K |
| 2020 |
484 |
$14K |
| 2021 |
734 |
$22K |
| 2022 |
878 |
$22K |
| 2023 |
1,261 |
$35K |
| 2024 |
1,100 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,127 |
1,122 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
902 |
898 |
$28K |
| D4341 |
|
186 |
68 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
194 |
192 |
$11K |
| D0180 |
|
179 |
179 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
1,367 |
1,349 |
$8K |
| D0274 |
Bitewings - four radiographic images |
536 |
535 |
$8K |
| D0170 |
|
97 |
94 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
892 |
831 |
$3K |
| D4910 |
|
14 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$675.00 |
| D9430 |
|
16 |
12 |
$500.00 |