GOOD DENTAL & DENTURES
NPI: 1629381348
· LYNNWOOD, WA 98036
· Denturist
· NPI assigned 07/22/2010
$1.70M
Total Medicaid Paid
Provider Details
| Authorized Official | CHOI, JAY (OWNER) |
| NPI Enumeration Date | 07/22/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,337 |
$127K |
| 2019 |
2,329 |
$216K |
| 2020 |
3,134 |
$282K |
| 2021 |
2,851 |
$353K |
| 2022 |
2,277 |
$391K |
| 2023 |
1,082 |
$204K |
| 2024 |
435 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
1,321 |
1,287 |
$686K |
| D5120 |
|
775 |
751 |
$407K |
| D7140 |
Extraction, erupted tooth or exposed root |
5,544 |
655 |
$223K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,510 |
280 |
$110K |
| D7311 |
|
378 |
133 |
$66K |
| D7310 |
|
386 |
142 |
$65K |
| D7250 |
|
908 |
148 |
$52K |
| D0140 |
Limited oral evaluation - problem focused |
1,857 |
1,823 |
$46K |
| D0330 |
Panoramic radiographic image |
744 |
723 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
463 |
451 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
270 |
261 |
$6K |
| D1999 |
|
249 |
240 |
$3K |
| D5750 |
|
14 |
13 |
$3K |
| D5410 |
|
14 |
14 |
$470.68 |
| D5411 |
|
12 |
12 |
$184.91 |