SUPREME DENTAL ASSOCIATES, LLC
NPI: 1386795409
· WEST ORANGE, NJ 07052
· 1223G0001X
$874K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,966 |
$177K |
| 2019 |
11,616 |
$179K |
| 2020 |
4,542 |
$59K |
| 2021 |
4,829 |
$84K |
| 2022 |
11,297 |
$148K |
| 2023 |
8,981 |
$117K |
| 2024 |
7,077 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
6,336 |
6,269 |
$155K |
| D1110 |
|
4,670 |
4,609 |
$92K |
| D2750 |
|
232 |
170 |
$92K |
| D1120 |
|
3,543 |
3,516 |
$76K |
| D1351 |
|
5,140 |
838 |
$64K |
| D0230 |
|
15,118 |
7,541 |
$64K |
| D2392 |
|
1,154 |
652 |
$46K |
| D2150 |
|
1,051 |
641 |
$43K |
| D1208 |
|
4,609 |
4,541 |
$39K |
| D0150 |
|
1,466 |
1,445 |
$34K |
| D0220 |
|
8,483 |
8,130 |
$28K |
| D0210 |
|
940 |
940 |
$28K |
| D4341 |
|
499 |
179 |
$22K |
| D9920 |
|
1,245 |
1,214 |
$19K |
| D0140 |
|
845 |
813 |
$17K |
| D2140 |
|
363 |
237 |
$13K |
| D2393 |
|
259 |
151 |
$12K |
| D2160 |
|
189 |
135 |
$10K |
| D2391 |
|
175 |
114 |
$7K |
| D0274 |
|
1,191 |
1,149 |
$6K |
| D2954 |
|
38 |
36 |
$3K |
| D7210 |
|
46 |
29 |
$2K |
| D0330 |
|
810 |
789 |
$2K |
| D0272 |
|
143 |
142 |
$656.25 |
| D2950 |
|
18 |
13 |
$486.00 |
| D1999 |
|
745 |
616 |
$0.00 |