SUNRIDGE DENTAL CARE, P.C.
NPI: 1376844811
· ALBUQUERQUE, NM 87105
· 1223G0001X
$810K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,966 |
$250K |
| 2019 |
6,131 |
$209K |
| 2020 |
5,074 |
$174K |
| 2021 |
4,923 |
$152K |
| 2022 |
699 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,330 |
1,233 |
$167K |
| D0150 |
|
3,855 |
3,848 |
$130K |
| D0274 |
|
2,382 |
2,380 |
$66K |
| D1208 |
|
3,665 |
3,661 |
$66K |
| D4346 |
|
535 |
533 |
$63K |
| D1110 |
|
1,219 |
1,217 |
$54K |
| D1120 |
|
1,663 |
1,663 |
$52K |
| D0210 |
|
737 |
723 |
$36K |
| D0220 |
|
3,104 |
3,065 |
$34K |
| D2393 |
|
364 |
262 |
$32K |
| D7140 |
|
479 |
162 |
$31K |
| D0230 |
|
3,080 |
2,242 |
$29K |
| D2391 |
|
383 |
222 |
$20K |
| D0140 |
|
399 |
388 |
$11K |
| D0120 |
|
405 |
405 |
$9K |
| D0330 |
|
128 |
128 |
$6K |
| D4341 |
|
33 |
13 |
$4K |
| D9110 |
|
12 |
12 |
$668.25 |
| D9995 |
|
20 |
20 |
$593.02 |