SUMMIT FAMILY DENTISTRY MGMT INC
NPI: 1780702506
· HACKENSACK, NJ 07601
· 122300000X
$200K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,194 |
$81K |
| 2019 |
7,398 |
$63K |
| 2020 |
2,909 |
$23K |
| 2021 |
2,742 |
$20K |
| 2022 |
1,693 |
$12K |
| 2023 |
588 |
$454.00 |
| 2024 |
2,171 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
5,069 |
5,057 |
$46K |
| D1110 |
|
4,283 |
4,269 |
$45K |
| D2391 |
|
1,117 |
644 |
$21K |
| D2392 |
|
834 |
562 |
$17K |
| D0150 |
|
1,026 |
1,023 |
$10K |
| D1120 |
|
948 |
947 |
$10K |
| D0274 |
|
1,933 |
1,930 |
$9K |
| D0220 |
|
3,971 |
3,918 |
$8K |
| D0210 |
|
535 |
533 |
$8K |
| D0140 |
|
582 |
571 |
$7K |
| D0230 |
|
3,419 |
3,394 |
$6K |
| D1208 |
|
1,363 |
1,361 |
$5K |
| D2393 |
|
141 |
86 |
$4K |
| D2330 |
|
127 |
69 |
$2K |
| D2335 |
|
19 |
13 |
$1K |
| D0272 |
|
277 |
277 |
$847.75 |
| D7140 |
|
22 |
12 |
$120.00 |
| D0603 |
|
15 |
15 |
$80.00 |
| D1206 |
|
14 |
13 |
$0.00 |