GREENBURGH KIDS DENTAL, PC
NPI: 1851946271
· HARTSDALE, NY 10530
· Pediatric Dentist
· NPI assigned 08/02/2019
$1.32M
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JENNIFER (OWNER) |
| NPI Enumeration Date | 08/02/2019 |
Related Entities
Other providers sharing the same authorized official: KIM, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
170 |
$3K |
| 2020 |
629 |
$14K |
| 2021 |
7,235 |
$206K |
| 2022 |
13,415 |
$393K |
| 2023 |
12,347 |
$373K |
| 2024 |
10,833 |
$328K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
10,832 |
10,831 |
$253K |
| D1206 |
|
7,784 |
7,783 |
$219K |
| D1120 |
|
6,536 |
6,536 |
$216K |
| D1110 |
|
4,360 |
4,360 |
$183K |
| D1351 |
|
3,408 |
1,151 |
$128K |
| D2393 |
|
1,140 |
725 |
$93K |
| D0274 |
|
3,480 |
3,480 |
$85K |
| D1208 |
|
3,305 |
3,305 |
$39K |
| D0330 |
|
797 |
797 |
$23K |
| D7140 |
|
406 |
223 |
$21K |
| D0272 |
|
1,359 |
1,359 |
$19K |
| D2394 |
|
128 |
102 |
$14K |
| D2392 |
|
139 |
92 |
$7K |
| D0220 |
|
568 |
563 |
$6K |
| D9230 |
|
81 |
79 |
$4K |
| D0150 |
|
163 |
163 |
$4K |
| D2160 |
|
30 |
17 |
$3K |
| D0140 |
|
70 |
70 |
$932.45 |
| D2391 |
|
15 |
12 |
$656.00 |
| D0230 |
|
28 |
28 |
$176.24 |