EXCEPTIONAL DENTAL OF G
NPI: 1629443452
· MARRERO, LA 70072
· General Practice Dentistry
· NPI assigned 12/04/2015
$389K
Total Medicaid Paid
Provider Details
| Authorized Official | DOLES, LINDA (OFFICE MANAGER) |
| NPI Enumeration Date | 12/04/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,661 |
$67K |
| 2019 |
2,119 |
$55K |
| 2020 |
2,027 |
$63K |
| 2021 |
2,882 |
$94K |
| 2022 |
2,943 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,670 |
1,616 |
$75K |
| D0120 |
|
1,976 |
1,935 |
$51K |
| D0140 |
|
1,111 |
981 |
$36K |
| D0210 |
|
694 |
632 |
$34K |
| D0150 |
|
805 |
751 |
$34K |
| D2392 |
|
391 |
189 |
$30K |
| D7210 |
|
232 |
137 |
$23K |
| D0220 |
|
1,827 |
1,720 |
$23K |
| D1208 |
|
1,088 |
1,063 |
$20K |
| D1120 |
|
615 |
607 |
$20K |
| D0272 |
|
1,325 |
1,272 |
$19K |
| D9230 |
|
246 |
214 |
$8K |
| D0274 |
|
303 |
299 |
$6K |
| D2393 |
|
34 |
16 |
$3K |
| D0230 |
|
247 |
247 |
$3K |
| D0330 |
|
13 |
13 |
$741.65 |
| D1999 |
|
55 |
44 |
$0.00 |