DA VINCI DENTAL PHOENIX
NPI: 1477833069
· PHOENIX, AZ 85013
· 1223G0001X
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
516 |
$2K |
| 2019 |
3,639 |
$19K |
| 2020 |
5,227 |
$70K |
| 2021 |
3,710 |
$5K |
| 2022 |
3,731 |
$6K |
| 2023 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2335 |
|
1,238 |
496 |
$20K |
| D2740 |
|
392 |
318 |
$18K |
| D2393 |
|
1,113 |
286 |
$16K |
| D3320 |
|
137 |
125 |
$9K |
| D2332 |
|
837 |
363 |
$7K |
| D2950 |
|
544 |
424 |
$5K |
| D1110 |
|
1,119 |
1,101 |
$3K |
| D3330 |
|
162 |
144 |
$3K |
| D0230 |
|
2,274 |
1,731 |
$3K |
| D2392 |
|
328 |
110 |
$3K |
| D1355 |
|
1,634 |
330 |
$3K |
| D0150 |
|
1,083 |
1,067 |
$3K |
| D1354 |
|
1,454 |
292 |
$3K |
| D0274 |
|
1,111 |
1,095 |
$2K |
| D0220 |
|
1,881 |
1,849 |
$2K |
| D1208 |
|
1,107 |
1,091 |
$1K |
| D0140 |
|
321 |
319 |
$1K |
| D2750 |
|
47 |
43 |
$800.00 |
| D2391 |
|
55 |
39 |
$450.00 |
| D9110 |
|
13 |
13 |
$80.00 |