3885 MAIN ST BRIDGEPORT DENTAL INC
NPI: 1831771450
· BRIDGEPORT, CT 06606
· 1223G0001X
$775K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,941 |
$149K |
| 2022 |
5,228 |
$187K |
| 2023 |
5,157 |
$227K |
| 2024 |
5,299 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,445 |
785 |
$114K |
| D2391 |
|
1,461 |
766 |
$97K |
| D1120 |
|
2,030 |
1,977 |
$87K |
| D1110 |
|
2,265 |
2,138 |
$79K |
| D0120 |
|
3,021 |
2,915 |
$79K |
| D0210 |
|
1,126 |
1,058 |
$72K |
| D0274 |
|
1,779 |
1,717 |
$58K |
| D0150 |
|
1,469 |
1,199 |
$55K |
| D1208 |
|
1,983 |
1,930 |
$54K |
| D0140 |
|
1,273 |
1,165 |
$35K |
| D0220 |
|
1,125 |
1,040 |
$13K |
| D1351 |
|
319 |
98 |
$12K |
| D7140 |
|
154 |
66 |
$11K |
| D2393 |
|
68 |
48 |
$6K |
| D2331 |
|
16 |
12 |
$2K |
| D0230 |
|
91 |
63 |
$898.28 |