EASTERN DENTAL OF LACEY, LLC
NPI: 1689722787
· FORKED RIVER, NJ 08731
· General Practice Dentistry
· NPI assigned 01/08/2007
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | DUBMAN, ANDREW (DIRECTOR) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
740 |
$16K |
| 2019 |
854 |
$20K |
| 2020 |
1,616 |
$19K |
| 2021 |
2,927 |
$34K |
| 2022 |
2,831 |
$39K |
| 2023 |
3,364 |
$47K |
| 2024 |
2,203 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,872 |
1,853 |
$60K |
| D0210 |
|
928 |
922 |
$32K |
| D0120 |
|
1,726 |
1,716 |
$30K |
| D0140 |
|
616 |
581 |
$18K |
| D0150 |
|
1,177 |
1,165 |
$17K |
| D1120 |
|
384 |
383 |
$12K |
| D1206 |
|
484 |
481 |
$9K |
| D0220 |
|
2,410 |
2,345 |
$9K |
| D0274 |
|
1,129 |
1,120 |
$9K |
| D0230 |
|
2,090 |
1,697 |
$5K |
| D2393 |
|
63 |
40 |
$3K |
| D0180 |
|
39 |
39 |
$2K |
| D0330 |
|
151 |
148 |
$1K |
| D1351 |
|
107 |
18 |
$1K |
| D7140 |
|
22 |
13 |
$600.00 |
| D0270 |
|
38 |
38 |
$60.00 |
| D1999 |
|
1,299 |
1,140 |
$0.00 |