CENTRE STREET DENTAL CARE
NPI: 1720230618
· JAMAICA PLAIN, MA 02130
· 1223G0001X
$773K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,361 |
$151K |
| 2019 |
5,120 |
$144K |
| 2020 |
3,038 |
$91K |
| 2021 |
3,071 |
$111K |
| 2022 |
3,483 |
$108K |
| 2023 |
3,177 |
$104K |
| 2024 |
2,040 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
3,490 |
3,429 |
$185K |
| D0120 |
|
4,394 |
4,324 |
$108K |
| D0274 |
|
3,002 |
2,948 |
$105K |
| D1120 |
|
1,617 |
1,599 |
$81K |
| D1208 |
|
2,538 |
2,502 |
$73K |
| D0220 |
|
3,838 |
3,749 |
$60K |
| D0230 |
|
3,785 |
3,492 |
$49K |
| D0150 |
|
579 |
573 |
$24K |
| D0330 |
|
927 |
913 |
$24K |
| D2751 |
|
41 |
29 |
$22K |
| D1351 |
|
535 |
152 |
$19K |
| D2392 |
|
131 |
80 |
$11K |
| D0272 |
|
303 |
302 |
$8K |
| D0140 |
|
39 |
36 |
$2K |
| D2391 |
|
21 |
14 |
$1K |
| D1354 |
|
50 |
16 |
$750.00 |