SOUTHJERSEYDENTISTRY LLC
NPI: 1821491317
· BERLIN, NJ 08009
· 261QD0000X
$150K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
933 |
$4K |
| 2019 |
2,334 |
$16K |
| 2020 |
3,929 |
$21K |
| 2021 |
5,049 |
$25K |
| 2022 |
6,171 |
$27K |
| 2023 |
6,182 |
$32K |
| 2024 |
4,477 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
3,346 |
3,310 |
$34K |
| D1110 |
|
2,834 |
2,806 |
$27K |
| D0210 |
|
851 |
842 |
$16K |
| D7140 |
|
1,047 |
616 |
$12K |
| D0220 |
|
7,042 |
6,105 |
$11K |
| D1208 |
|
2,938 |
2,907 |
$11K |
| D2391 |
|
467 |
302 |
$9K |
| D0230 |
|
4,675 |
4,209 |
$6K |
| D0274 |
|
2,106 |
2,076 |
$6K |
| D0330 |
|
1,370 |
1,358 |
$5K |
| D0150 |
|
379 |
379 |
$4K |
| D2392 |
|
180 |
145 |
$3K |
| D0140 |
|
297 |
294 |
$3K |
| D0270 |
|
1,362 |
1,237 |
$2K |
| D1120 |
|
167 |
167 |
$759.00 |
| D2330 |
|
14 |
12 |
$266.00 |