Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JERSEY GARDEN DENTAL PA

NPI: 1790907913 · ELIZABETH, NJ 07201 · 1223G0001X

$17K

Total Medicaid Paid

4,278

Total Claims

3,715

Beneficiaries

12

Codes Billed

2018-01

First Month

2021-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	422	$4K
2019	3,098	$11K
2020	584	$2K
2021	174	$267.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		919	918	$5K
D1110		463	462	$4K
D0220		758	757	$1K
D0210		106	106	$1K
D1120		202	202	$1K
D0230		612	596	$984.00
D1208		250	250	$980.00
D2391		74	27	$832.00
D0150		47	47	$811.00
D1351		540	43	$642.00
D0274		165	165	$495.00
D0272		142	142	$344.00