FEDERICO GRANDE DDS, MD, PA
NPI: 1366166076
· STUART, FL 34997
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/27/2022
$331K
Total Medicaid Paid
Provider Details
| Authorized Official | GRANDE, FEDERICO (OWNER) |
| Parent Organization | FEDERICO GRANDE DDS, MD, PA |
| NPI Enumeration Date | 09/27/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$250.00 |
| 2024 |
775 |
$331K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
136 |
112 |
$287K |
| D9222 |
|
112 |
112 |
$21K |
| D9310 |
|
79 |
79 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
42 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
85 |
85 |
$2K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$2K |
| D1330 |
|
85 |
85 |
$920.00 |
| D0190 |
|
124 |
123 |
$475.14 |
| D9920 |
|
43 |
43 |
$165.00 |