CONQUISTADOR DENTAL, LLC
NPI: 1770893646
· BELEN, NM 87002
· 1223G0001X
$225K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,319 |
$58K |
| 2019 |
1,607 |
$40K |
| 2020 |
992 |
$24K |
| 2021 |
1,475 |
$37K |
| 2022 |
1,469 |
$34K |
| 2023 |
941 |
$21K |
| 2024 |
510 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
1,190 |
1,190 |
$41K |
| D1110 |
|
820 |
820 |
$36K |
| D1120 |
|
1,167 |
1,167 |
$36K |
| D0274 |
|
913 |
913 |
$26K |
| D1208 |
|
1,429 |
1,429 |
$25K |
| D0220 |
|
1,662 |
1,645 |
$18K |
| D2391 |
|
268 |
143 |
$14K |
| D0230 |
|
1,182 |
1,165 |
$11K |
| D0120 |
|
470 |
470 |
$10K |
| D0140 |
|
184 |
183 |
$5K |
| D2392 |
|
16 |
12 |
$1K |
| D0330 |
|
12 |
12 |
$626.61 |