NICK GROTE FAMILY DENTAL PA
NPI: 1447671862
· VAN BUREN, AR 72956
· 1223G0001X
$503K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,030 |
$154K |
| 2019 |
1,904 |
$67K |
| 2020 |
1,490 |
$45K |
| 2021 |
1,825 |
$46K |
| 2022 |
2,523 |
$65K |
| 2023 |
2,412 |
$66K |
| 2024 |
2,348 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
|
2,077 |
1,881 |
$96K |
| D0120 |
|
2,779 |
2,539 |
$71K |
| D0272 |
|
2,466 |
2,245 |
$54K |
| D2150 |
|
687 |
375 |
$53K |
| D1208 |
|
2,718 |
2,481 |
$53K |
| D9230 |
|
1,627 |
1,240 |
$41K |
| D2160 |
|
309 |
157 |
$27K |
| D0220 |
|
1,453 |
1,356 |
$25K |
| D0140 |
|
716 |
636 |
$23K |
| D7140 |
|
274 |
87 |
$19K |
| D0230 |
|
887 |
831 |
$12K |
| D1120 |
|
217 |
205 |
$7K |
| D0210 |
|
82 |
82 |
$7K |
| D2140 |
|
87 |
28 |
$5K |
| D0330 |
|
112 |
81 |
$4K |
| D2332 |
|
27 |
13 |
$3K |
| D2161 |
|
14 |
12 |
$2K |