CPDG-AM
NPI: 1891043006
· HANOVER, MD 21076
· Pediatric Dentist
· NPI assigned 08/17/2012
$4.69M
Total Medicaid Paid
Provider Details
| Authorized Official | KOYMEN, HAKAN (PRESIDENT) |
| Parent Organization | CHESAPEAKE PEDIATRIC DENTAL GROUP, LLC |
| NPI Enumeration Date | 08/17/2012 |
Related Entities
Other providers sharing the same authorized official: KOYMEN, HAKAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,430 |
$272K |
| 2019 |
12,868 |
$477K |
| 2020 |
12,242 |
$470K |
| 2021 |
19,647 |
$933K |
| 2022 |
19,194 |
$896K |
| 2023 |
19,511 |
$931K |
| 2024 |
16,321 |
$714K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
22,484 |
22,145 |
$984K |
| D0120 |
|
21,198 |
20,893 |
$628K |
| D1206 |
|
23,929 |
23,566 |
$593K |
| D2392 |
|
4,723 |
2,414 |
$570K |
| D2930 |
|
2,753 |
1,035 |
$427K |
| D9248 |
|
2,282 |
2,246 |
$417K |
| D7140 |
|
2,520 |
1,420 |
$277K |
| D0272 |
|
9,657 |
9,514 |
$147K |
| D2391 |
|
1,167 |
718 |
$110K |
| D0150 |
|
1,529 |
1,502 |
$80K |
| D1110 |
|
1,307 |
1,289 |
$77K |
| D3120 |
|
1,721 |
1,054 |
$59K |
| D0140 |
|
1,128 |
1,110 |
$51K |
| D1351 |
|
1,410 |
401 |
$49K |
| D9310 |
|
1,031 |
1,023 |
$48K |
| D0330 |
|
1,136 |
1,105 |
$48K |
| D9230 |
|
2,587 |
2,509 |
$47K |
| D0274 |
|
1,602 |
1,581 |
$36K |
| D0240 |
|
1,919 |
1,879 |
$21K |
| D0220 |
|
1,632 |
1,605 |
$15K |
| D0230 |
|
250 |
244 |
$4K |
| D0145 |
|
85 |
85 |
$4K |
| D3220 |
|
23 |
15 |
$1K |
| D0270 |
|
107 |
103 |
$900.00 |
| D9420 |
|
33 |
33 |
$495.00 |