Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › SOUTH AMBOY › EASTERN DENTAL OF OLD BRIDGE, LLC

EASTERN DENTAL OF OLD BRIDGE, LLC

NPI: 1770631772 · SOUTH AMBOY, NJ 08879 · 1223G0001X

$1K
Total Medicaid Paid
4,229
Total Claims
3,818
Beneficiaries
12
Codes Billed
2020-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 596 $1K
2021 962 $0.00
2022 1,354 $0.00
2023 942 $0.00
2024 375 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 735 496 $551.00
D0120 481 478 $378.00
D0220 687 675 $286.00
D0150 402 401 $207.00
D1110 395 391 $0.00
D0274 351 348 $0.00
D0330 467 466 $0.00
D1120 15 15 $0.00
D1999 582 507 $0.00
D1351 85 12 $0.00
D1206 17 17 $0.00
D0140 12 12 $0.00