DIAMOND STATE DENTISTRY
NPI: 1689700775
· MILFORD, DE 19963
· Dentist
· NPI assigned 02/26/2007
$454K
Total Medicaid Paid
Provider Details
| Authorized Official | BUNTING, LUCINDA (OWNER) |
| NPI Enumeration Date | 02/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,963 |
$89K |
| 2019 |
3,390 |
$111K |
| 2020 |
1,546 |
$52K |
| 2021 |
1,924 |
$68K |
| 2022 |
1,302 |
$44K |
| 2023 |
1,525 |
$55K |
| 2024 |
1,011 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,065 |
2,960 |
$111K |
| D1206 |
|
3,152 |
3,072 |
$94K |
| D1110 |
|
1,399 |
1,356 |
$86K |
| D1120 |
|
1,415 |
1,380 |
$67K |
| D0274 |
|
1,115 |
1,095 |
$49K |
| D1351 |
|
1,089 |
264 |
$48K |
| D0603 |
|
2,057 |
2,014 |
$0.00 |
| D0602 |
|
369 |
358 |
$0.00 |