GREENFIELD OPTIMAL DENTAL CARE LLC
NPI: 1376930990
· GREENFIELD, WI 53228
· General Practice Dentistry
$581K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,605 |
$87K |
| 2019 |
4,339 |
$75K |
| 2020 |
2,459 |
$45K |
| 2021 |
2,050 |
$36K |
| 2022 |
3,256 |
$87K |
| 2023 |
5,639 |
$141K |
| 2024 |
4,693 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
4,224 |
3,821 |
$119K |
| D0210 |
|
1,581 |
1,480 |
$75K |
| D0120 |
|
4,446 |
4,128 |
$70K |
| D1120 |
|
2,509 |
2,329 |
$56K |
| D0274 |
|
2,855 |
2,494 |
$51K |
| D1206 |
|
3,665 |
3,402 |
$50K |
| D0150 |
|
2,405 |
2,124 |
$50K |
| D2392 |
|
777 |
467 |
$38K |
| D0140 |
|
1,203 |
1,083 |
$20K |
| D0272 |
|
1,343 |
1,195 |
$18K |
| D0330 |
|
305 |
260 |
$9K |
| D2391 |
|
228 |
129 |
$8K |
| D0220 |
|
942 |
828 |
$6K |
| D2393 |
|
106 |
65 |
$5K |
| D7140 |
|
103 |
55 |
$4K |
| D1208 |
|
204 |
198 |
$2K |
| D1351 |
|
124 |
13 |
$2K |
| D1330 |
|
21 |
21 |
$0.00 |