Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COVE DENTAL OF HAMMONTON

NPI: 1639945660 · HAMMONTON, NJ 08037 · Dental Clinic/Center · NPI assigned 11/30/2023

$32K
Total Medicaid Paid
548
Total Claims
484
Beneficiaries
8
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCREAGH, KATRINA (PRACTICE ADMINISTRATOR)
NPI Enumeration Date11/30/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 548 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2740 Crown - porcelain/ceramic 35 26 $18K
D0150 Comprehensive oral evaluation - new or established patient 153 149 $5K
D0210 Intraoral - complete series of radiographic images 118 116 $5K
D1110 Prophylaxis - adult 92 89 $3K
D0140 Limited oral evaluation - problem focused 13 12 $358.02
D0330 Panoramic radiographic image 25 25 $265.20
D0220 Intraoral - periapical first radiographic image 41 41 $122.40
D0230 Intraoral - periapical each additional radiographic image 71 26 $68.85