GROVE STREET CARE DENTAL INC.
NPI: 1376719450
· MONTCLAIR, NJ 07042
· 1223G0001X
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,923 |
$22K |
| 2019 |
1,216 |
$13K |
| 2020 |
865 |
$12K |
| 2021 |
1,317 |
$16K |
| 2022 |
2,099 |
$17K |
| 2023 |
1,150 |
$10K |
| 2024 |
1,091 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,788 |
1,773 |
$30K |
| D0120 |
|
1,254 |
1,243 |
$19K |
| D0150 |
|
487 |
482 |
$11K |
| D0210 |
|
344 |
339 |
$9K |
| D0274 |
|
1,019 |
1,011 |
$7K |
| D0220 |
|
1,952 |
1,877 |
$7K |
| D0230 |
|
1,666 |
1,576 |
$5K |
| D1208 |
|
400 |
396 |
$4K |
| D2391 |
|
76 |
49 |
$2K |
| D0140 |
|
125 |
120 |
$2K |
| D0191 |
|
247 |
233 |
$2K |
| D1120 |
|
62 |
62 |
$868.00 |
| D0180 |
|
61 |
61 |
$854.00 |
| D2392 |
|
15 |
13 |
$570.00 |
| D0601 |
|
122 |
120 |
$290.00 |
| D9310 |
|
13 |
12 |
$119.00 |
| D0272 |
|
16 |
16 |
$80.00 |
| D0602 |
|
14 |
14 |
$30.00 |