EASTERN DENTAL OF LAWRENCEVILLE, LLC
NPI: 1497803597
· LAWRENCEVILLE, NJ 08648
· General Practice Dentistry
· NPI assigned 01/08/2007
$223K
Total Medicaid Paid
Provider Details
| Authorized Official | MISTRY, MANISH (DIRECTOR) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
137 |
$281.25 |
| 2019 |
781 |
$20K |
| 2020 |
1,018 |
$14K |
| 2021 |
1,558 |
$6K |
| 2022 |
2,248 |
$26K |
| 2023 |
4,796 |
$69K |
| 2024 |
4,956 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,659 |
1,648 |
$55K |
| D0210 |
|
657 |
657 |
$34K |
| D0150 |
|
1,333 |
1,322 |
$28K |
| D2392 |
|
570 |
395 |
$23K |
| D0120 |
|
1,403 |
1,395 |
$22K |
| D0140 |
|
363 |
360 |
$14K |
| D1120 |
|
329 |
325 |
$11K |
| D1206 |
|
425 |
420 |
$9K |
| D0220 |
|
2,294 |
2,265 |
$6K |
| D0274 |
|
1,296 |
1,286 |
$6K |
| D0330 |
|
1,013 |
1,008 |
$5K |
| D0230 |
|
2,659 |
1,834 |
$5K |
| D2391 |
|
149 |
107 |
$4K |
| D0272 |
|
24 |
24 |
$96.00 |
| D1999 |
|
1,320 |
1,145 |
$0.00 |