ELSEMARY AND SALEM DENTAL CORPORATION
NPI: 1649721515
· ELK GROVE, CA 95758
· 261QD0000X
$890K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
40 |
$1K |
| 2020 |
262 |
$3K |
| 2021 |
661 |
$7K |
| 2022 |
2,188 |
$54K |
| 2023 |
9,644 |
$343K |
| 2024 |
14,018 |
$481K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
4,005 |
4,004 |
$206K |
| D1206 |
|
3,996 |
3,995 |
$136K |
| D2392 |
|
1,668 |
1,041 |
$111K |
| D0120 |
|
1,962 |
1,961 |
$100K |
| D0150 |
|
1,345 |
1,344 |
$84K |
| D0230 |
|
6,292 |
3,342 |
$78K |
| D1351 |
|
1,769 |
618 |
$68K |
| D9230 |
|
747 |
701 |
$30K |
| D2391 |
|
421 |
276 |
$23K |
| D0272 |
|
1,840 |
1,840 |
$22K |
| D0274 |
|
614 |
614 |
$13K |
| D2393 |
|
61 |
54 |
$5K |
| D9999 |
|
37 |
27 |
$4K |
| D7140 |
|
63 |
42 |
$4K |
| D0140 |
|
99 |
98 |
$3K |
| D0145 |
|
26 |
26 |
$2K |
| D0220 |
|
111 |
111 |
$1K |
| D0210 |
|
12 |
12 |
$576.00 |
| D0603 |
|
632 |
632 |
$438.00 |
| D1310 |
|
324 |
324 |
$322.00 |
| D0601 |
|
664 |
664 |
$237.00 |
| D0602 |
|
125 |
125 |
$90.00 |