ALLIANCE FAMILY DENTAL, LLC
NPI: 1477105690
· ALLIANCE, NE 69301
· 122300000X
$560K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,373 |
$38K |
| 2020 |
3,117 |
$85K |
| 2021 |
5,947 |
$129K |
| 2022 |
4,952 |
$121K |
| 2023 |
4,019 |
$187K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,263 |
714 |
$108K |
| D1206 |
|
3,206 |
3,186 |
$93K |
| D0120 |
|
3,388 |
3,386 |
$92K |
| D1110 |
|
1,490 |
1,490 |
$62K |
| D1120 |
|
1,825 |
1,825 |
$59K |
| D0274 |
|
1,944 |
1,944 |
$46K |
| D1999 |
|
4,189 |
3,875 |
$41K |
| D2391 |
|
323 |
221 |
$26K |
| D0272 |
|
1,042 |
1,042 |
$17K |
| D0140 |
|
439 |
432 |
$12K |
| D0150 |
|
130 |
130 |
$3K |
| D0220 |
|
156 |
145 |
$977.20 |
| D0210 |
|
13 |
13 |
$561.84 |