HAVERHILL PRIME DENTAL PLLC
NPI: 1427538230
· HAVERHILL, MA 01830
· 261QD0000X
$1.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
18 |
$876.00 |
| 2019 |
3,163 |
$118K |
| 2020 |
3,820 |
$131K |
| 2021 |
4,063 |
$181K |
| 2022 |
4,007 |
$146K |
| 2023 |
7,042 |
$384K |
| 2024 |
7,191 |
$397K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
4,501 |
4,327 |
$229K |
| D2740 |
|
316 |
210 |
$215K |
| D2392 |
|
1,457 |
803 |
$116K |
| D0150 |
|
2,617 |
2,476 |
$111K |
| D2391 |
|
1,789 |
909 |
$107K |
| D0274 |
|
2,635 |
2,532 |
$92K |
| D0120 |
|
3,553 |
3,464 |
$86K |
| D1120 |
|
1,705 |
1,622 |
$79K |
| D1208 |
|
2,471 |
2,406 |
$72K |
| D0220 |
|
3,690 |
3,434 |
$56K |
| D0140 |
|
1,182 |
1,130 |
$45K |
| D7210 |
|
259 |
160 |
$35K |
| D2751 |
|
62 |
39 |
$31K |
| D0230 |
|
2,269 |
1,970 |
$28K |
| D0210 |
|
374 |
354 |
$25K |
| D2950 |
|
121 |
91 |
$18K |
| D1351 |
|
199 |
54 |
$7K |
| D2332 |
|
21 |
13 |
$2K |
| D7140 |
|
20 |
12 |
$2K |
| D2393 |
|
19 |
12 |
$2K |
| D0272 |
|
44 |
41 |
$1K |