GRANDGENETT, DEBORAH
NPI: 1497841449
· AMES, IA 50010
· Pediatric Dentist
· NPI assigned 10/05/2006
$140K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,853 |
$33K |
| 2019 |
2,027 |
$36K |
| 2020 |
1,443 |
$27K |
| 2021 |
1,035 |
$19K |
| 2022 |
472 |
$9K |
| 2023 |
419 |
$9K |
| 2024 |
331 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,834 |
1,786 |
$41K |
| D0120 |
Periodic oral evaluation - established patient |
2,370 |
2,313 |
$40K |
| D1206 |
Topical application of fluoride varnish |
2,362 |
2,306 |
$33K |
| D1110 |
Prophylaxis - adult |
324 |
314 |
$11K |
| D0274 |
Bitewings - four radiographic images |
394 |
386 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
134 |
128 |
$3K |
| D1351 |
Sealant - per tooth |
97 |
15 |
$2K |
| D0272 |
Bitewings - two radiographic images |
65 |
63 |
$982.20 |