SUNDANCE DENTAL CARE OF GRANTS
NPI: 1467818518
· GRANTS, NM 87020
· 1223G0001X
$453K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,557 |
$123K |
| 2019 |
4,920 |
$112K |
| 2020 |
3,717 |
$89K |
| 2021 |
5,992 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,336 |
2,242 |
$76K |
| D0274 |
|
2,417 |
2,327 |
$66K |
| D1120 |
|
1,853 |
1,794 |
$55K |
| D1110 |
|
1,064 |
1,008 |
$43K |
| D0220 |
|
3,665 |
3,484 |
$39K |
| D2392 |
|
493 |
321 |
$32K |
| D1208 |
|
1,579 |
1,528 |
$27K |
| D0140 |
|
898 |
855 |
$25K |
| D0230 |
|
2,589 |
2,452 |
$22K |
| D1206 |
|
1,107 |
1,051 |
$19K |
| D7210 |
|
156 |
57 |
$17K |
| D0120 |
|
481 |
463 |
$10K |
| D7140 |
|
90 |
41 |
$6K |
| D0330 |
|
173 |
148 |
$5K |
| D2391 |
|
104 |
67 |
$5K |
| D2393 |
|
52 |
41 |
$4K |
| D0272 |
|
129 |
110 |
$2K |