ELSEMARY AND SALEM DENTAL CORPORATION
NPI: 1851987549
· WOODLAND, CA 95695
· 261QD0000X
$3.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
10,823 |
$266K |
| 2022 |
25,362 |
$654K |
| 2023 |
32,983 |
$898K |
| 2024 |
39,990 |
$1.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
8,975 |
8,907 |
$434K |
| D0120 |
|
4,519 |
4,487 |
$332K |
| D2392 |
|
4,610 |
2,480 |
$294K |
| D2930 |
|
1,790 |
508 |
$202K |
| D2391 |
|
3,427 |
1,763 |
$178K |
| D0150 |
|
2,616 |
2,609 |
$176K |
| D1208 |
|
8,858 |
8,783 |
$170K |
| D0230 |
|
39,935 |
7,597 |
$163K |
| D1310 |
|
3,604 |
3,554 |
$161K |
| D1351 |
|
4,323 |
1,604 |
$146K |
| D9230 |
|
2,850 |
2,447 |
$112K |
| D3240 |
|
1,134 |
385 |
$107K |
| D0350 |
|
8,542 |
3,726 |
$84K |
| D9223 |
|
319 |
105 |
$71K |
| D7140 |
|
1,248 |
557 |
$68K |
| D0274 |
|
2,222 |
2,212 |
$47K |
| D2393 |
|
512 |
371 |
$40K |
| D0603 |
|
2,569 |
2,546 |
$38K |
| D0145 |
|
527 |
527 |
$37K |
| D0272 |
|
2,985 |
2,965 |
$35K |
| D0210 |
|
587 |
586 |
$27K |
| D2330 |
|
337 |
187 |
$25K |
| D9430 |
|
751 |
720 |
$24K |
| D9222 |
|
106 |
103 |
$12K |
| D0602 |
|
652 |
638 |
$9K |
| D0220 |
|
770 |
706 |
$9K |
| D9610 |
|
144 |
72 |
$6K |
| D0140 |
|
138 |
138 |
$5K |
| D0330 |
|
91 |
91 |
$3K |
| D1206 |
|
17 |
17 |
$79.00 |