HIGHBURY DENTAL MANAGEMENT, LLC
NPI: 1841704764
· GLENDALE, AZ 85306
· 1223P0221X
$572K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,677 |
$27K |
| 2019 |
32,493 |
$108K |
| 2020 |
34,874 |
$121K |
| 2021 |
40,552 |
$93K |
| 2022 |
5,082 |
$94K |
| 2023 |
3,615 |
$67K |
| 2024 |
2,837 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
15,915 |
15,652 |
$113K |
| D2930 |
|
4,486 |
1,103 |
$67K |
| D0120 |
|
14,850 |
14,676 |
$65K |
| D1206 |
|
17,366 |
17,089 |
$63K |
| D0230 |
|
15,992 |
14,059 |
$39K |
| D0220 |
|
16,999 |
16,590 |
$38K |
| D2392 |
|
3,245 |
1,745 |
$33K |
| D0272 |
|
10,319 |
10,163 |
$23K |
| D0150 |
|
2,149 |
2,089 |
$19K |
| D2391 |
|
2,468 |
1,332 |
$14K |
| D7140 |
|
1,537 |
700 |
$13K |
| D3220 |
|
1,147 |
413 |
$12K |
| D0274 |
|
2,170 |
2,116 |
$12K |
| D2934 |
|
596 |
147 |
$10K |
| D9230 |
|
3,142 |
2,947 |
$8K |
| D3230 |
|
563 |
138 |
$8K |
| D1351 |
|
3,853 |
1,239 |
$8K |
| D0330 |
|
1,492 |
1,467 |
$7K |
| D0140 |
|
1,975 |
1,807 |
$7K |
| D1110 |
|
1,143 |
1,111 |
$6K |
| D0210 |
|
98 |
97 |
$4K |
| D2335 |
|
22 |
12 |
$914.67 |
| D1354 |
|
186 |
58 |
$748.75 |
| D0160 |
|
153 |
153 |
$725.66 |
| D1208 |
|
28 |
28 |
$282.58 |
| D0145 |
|
19 |
19 |
$83.10 |
| D1999 |
|
5,036 |
4,059 |
$42.00 |
| D0603 |
|
5,068 |
4,872 |
$0.00 |
| D0602 |
|
50 |
46 |
$0.00 |
| D0601 |
|
63 |
60 |
$0.00 |