CHILDREN'S DENTISTRY OF PASSAIC LLC
NPI: 1780990820
· PASSAIC, NJ 07055
· 261QD0000X
$966K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,031 |
$156K |
| 2019 |
18,078 |
$140K |
| 2020 |
9,434 |
$70K |
| 2021 |
12,742 |
$95K |
| 2022 |
15,035 |
$144K |
| 2023 |
13,806 |
$199K |
| 2024 |
9,660 |
$163K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
14,083 |
14,059 |
$196K |
| D0120 |
|
15,260 |
15,237 |
$181K |
| D2392 |
|
6,585 |
4,665 |
$162K |
| D1351 |
|
8,253 |
1,887 |
$97K |
| D1206 |
|
10,072 |
10,047 |
$72K |
| D2391 |
|
2,811 |
2,196 |
$65K |
| D1208 |
|
4,676 |
4,676 |
$37K |
| D0272 |
|
6,915 |
6,909 |
$24K |
| D0220 |
|
9,185 |
9,115 |
$22K |
| D7140 |
|
928 |
798 |
$22K |
| D1110 |
|
1,408 |
1,408 |
$20K |
| D0150 |
|
1,205 |
1,204 |
$17K |
| D0230 |
|
8,560 |
8,167 |
$16K |
| D0274 |
|
1,854 |
1,850 |
$14K |
| D0140 |
|
729 |
727 |
$9K |
| D2393 |
|
194 |
177 |
$5K |
| D0601 |
|
438 |
436 |
$2K |
| D0603 |
|
340 |
339 |
$2K |
| D2331 |
|
59 |
43 |
$2K |
| D0602 |
|
213 |
213 |
$1K |
| D0145 |
|
18 |
17 |
$105.00 |