SUMMIT FAMILY DENTAL OF FARMINGTON, LLC
NPI: 1427320654
· FARMINGTON, NM 87401
· 1223G0001X
$812K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,617 |
$94K |
| 2019 |
4,253 |
$155K |
| 2020 |
3,884 |
$127K |
| 2021 |
5,517 |
$183K |
| 2022 |
4,268 |
$114K |
| 2023 |
3,578 |
$88K |
| 2024 |
2,044 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,066 |
1,438 |
$220K |
| D0274 |
|
3,252 |
3,224 |
$94K |
| D0150 |
|
2,312 |
2,280 |
$79K |
| D1120 |
|
1,949 |
1,939 |
$61K |
| D2393 |
|
606 |
350 |
$52K |
| D2391 |
|
866 |
505 |
$46K |
| D0220 |
|
4,034 |
3,940 |
$45K |
| D1110 |
|
918 |
911 |
$40K |
| D0140 |
|
1,330 |
1,278 |
$38K |
| D0120 |
|
1,530 |
1,524 |
$33K |
| D1208 |
|
1,617 |
1,599 |
$29K |
| D0230 |
|
2,928 |
2,833 |
$26K |
| D1206 |
|
1,303 |
1,298 |
$24K |
| D0330 |
|
182 |
177 |
$9K |
| D4346 |
|
51 |
51 |
$6K |
| D7140 |
|
62 |
26 |
$4K |
| D7210 |
|
43 |
26 |
$4K |
| D0272 |
|
74 |
74 |
$1K |
| D9230 |
|
38 |
29 |
$969.77 |