GILBERT VALLEY DENTAL LLC
NPI: 1740821420
· GILBERT, AZ 85297
· 1223P0221X
$296K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
4,138 |
$38K |
| 2021 |
6,308 |
$60K |
| 2022 |
5,856 |
$73K |
| 2023 |
5,756 |
$74K |
| 2024 |
4,917 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,950 |
3,874 |
$74K |
| D0120 |
|
4,390 |
4,288 |
$55K |
| D1206 |
|
5,237 |
5,118 |
$48K |
| D0240 |
|
4,792 |
3,271 |
$43K |
| D0272 |
|
2,620 |
2,572 |
$27K |
| D1110 |
|
831 |
812 |
$18K |
| D0274 |
|
1,283 |
1,250 |
$17K |
| D2392 |
|
131 |
66 |
$6K |
| D0330 |
|
179 |
174 |
$4K |
| D9230 |
|
216 |
191 |
$2K |
| D0150 |
|
87 |
87 |
$943.40 |
| D0220 |
|
112 |
110 |
$898.76 |
| D0230 |
|
45 |
42 |
$341.42 |
| D0603 |
|
453 |
424 |
$0.00 |
| D1330 |
|
2,608 |
2,457 |
$0.00 |
| D0601 |
|
41 |
41 |
$0.00 |