DANIEL GROSSMAN, DDS, PA
NPI: 1861881260
· RALEIGH, NC 27613
· Dental Clinic/Center
· NPI assigned 01/22/2015
$327K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$1K |
| 2020 |
191 |
$20K |
| 2021 |
465 |
$48K |
| 2022 |
788 |
$74K |
| 2023 |
911 |
$90K |
| 2024 |
965 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
3,281 |
3,221 |
$325K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$743.40 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$699.75 |
| D0340 |
|
12 |
12 |
$657.48 |
| D0470 |
|
12 |
12 |
$536.76 |