GROSS, MICHAEL
NPI: 1891849295
· CADIZ, KY 42211
· General Practice Dentistry
· NPI assigned 01/22/2007
$398K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,182 |
$30K |
| 2019 |
1,570 |
$41K |
| 2020 |
1,066 |
$31K |
| 2021 |
1,710 |
$52K |
| 2022 |
1,855 |
$64K |
| 2023 |
2,228 |
$94K |
| 2024 |
2,040 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
3,181 |
3,089 |
$143K |
| D1110 |
Prophylaxis - adult |
1,942 |
1,879 |
$92K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,050 |
2,950 |
$86K |
| D0120 |
Periodic oral evaluation - established patient |
1,607 |
1,567 |
$37K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,277 |
1,256 |
$21K |
| D1120 |
Prophylaxis - child |
204 |
203 |
$12K |
| D9110 |
|
212 |
194 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
136 |
119 |
$1K |
| D2140 |
|
18 |
12 |
$743.28 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$652.99 |