GREEN MOUNTAIN DENTAL PROF. LLC
NPI: 1891003570
· LAKEWOOD, CO 80228
· 122300000X
$843K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
780 |
$34K |
| 2019 |
1,277 |
$62K |
| 2020 |
2,832 |
$142K |
| 2021 |
3,631 |
$194K |
| 2022 |
2,862 |
$119K |
| 2023 |
3,448 |
$175K |
| 2024 |
1,533 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,026 |
1,126 |
$272K |
| D2393 |
|
542 |
378 |
$88K |
| D0150 |
|
1,842 |
1,835 |
$73K |
| D0120 |
|
2,904 |
2,891 |
$71K |
| D1110 |
|
1,340 |
1,336 |
$60K |
| D0274 |
|
1,694 |
1,688 |
$50K |
| D4342 |
|
518 |
201 |
$47K |
| D2740 |
|
50 |
27 |
$43K |
| D0220 |
|
3,483 |
3,425 |
$43K |
| D0210 |
|
373 |
372 |
$29K |
| D0230 |
|
679 |
678 |
$15K |
| D4910 |
|
162 |
160 |
$12K |
| D7210 |
|
75 |
38 |
$10K |
| D0140 |
|
283 |
280 |
$9K |
| D2391 |
|
59 |
39 |
$6K |
| D2950 |
|
44 |
27 |
$6K |
| D1206 |
|
165 |
161 |
$5K |
| D0460 |
|
124 |
123 |
$3K |