SOMERVILLE FIRST DENTAL,LLC
NPI: 1891051066
· SOMERVILLE, MA 02143
· 261QD0000X
$1.87M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,404 |
$168K |
| 2019 |
4,006 |
$163K |
| 2020 |
3,203 |
$103K |
| 2021 |
4,392 |
$393K |
| 2022 |
4,504 |
$553K |
| 2023 |
5,132 |
$266K |
| 2024 |
4,200 |
$223K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
|
1,232 |
315 |
$687K |
| D1110 |
|
4,209 |
3,881 |
$198K |
| D2751 |
|
339 |
109 |
$173K |
| D2392 |
|
1,529 |
703 |
$109K |
| D0274 |
|
3,325 |
3,075 |
$107K |
| D0120 |
|
3,453 |
3,181 |
$73K |
| D0210 |
|
1,070 |
951 |
$69K |
| D2393 |
|
732 |
246 |
$60K |
| D0220 |
|
4,332 |
3,827 |
$60K |
| D2391 |
|
833 |
231 |
$52K |
| D0230 |
|
4,133 |
3,198 |
$48K |
| D0150 |
|
1,250 |
1,120 |
$45K |
| D4341 |
|
440 |
100 |
$38K |
| D1208 |
|
1,085 |
983 |
$27K |
| D0140 |
|
764 |
651 |
$27K |
| D7210 |
|
194 |
72 |
$25K |
| D2950 |
|
181 |
109 |
$25K |
| D7311 |
|
142 |
70 |
$12K |
| D1120 |
|
215 |
198 |
$9K |
| D3330 |
|
17 |
13 |
$9K |
| D0330 |
|
136 |
125 |
$7K |
| D0180 |
|
158 |
120 |
$5K |
| D7140 |
|
27 |
14 |
$2K |
| D0CP1 |
|
45 |
12 |
$0.00 |