GROOMS, MICHAEL
NPI: 1669573010
· BURLINGTON, NC 27215
· Pediatric Dentist
· NPI assigned 09/26/2006
$129K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,111 |
$72K |
| 2019 |
710 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
575 |
114 |
$82K |
| D9420 |
|
219 |
218 |
$25K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
116 |
37 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
669 |
163 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
242 |
195 |
$3K |