FAMILY DENTAL PRACTICE PC
NPI: 1376789966
· STAMFORD, CT 06906
· 1223G0001X
$279K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
588 |
$15K |
| 2019 |
763 |
$18K |
| 2020 |
974 |
$23K |
| 2021 |
991 |
$24K |
| 2022 |
1,572 |
$38K |
| 2023 |
2,635 |
$99K |
| 2024 |
2,241 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,660 |
1,595 |
$58K |
| D0120 |
|
1,880 |
1,843 |
$42K |
| D0274 |
|
1,170 |
1,133 |
$35K |
| D2392 |
|
415 |
249 |
$30K |
| D2954 |
|
131 |
98 |
$19K |
| D0220 |
|
1,574 |
1,517 |
$18K |
| D1208 |
|
762 |
737 |
$16K |
| D0230 |
|
1,467 |
1,055 |
$15K |
| D0150 |
|
292 |
276 |
$12K |
| D2751 |
|
21 |
12 |
$11K |
| D0210 |
|
177 |
172 |
$11K |
| D2393 |
|
78 |
53 |
$7K |
| D1120 |
|
83 |
83 |
$4K |
| D0140 |
|
26 |
26 |
$875.04 |
| D1206 |
|
28 |
28 |
$795.76 |