GLADE CROSSING DENTAL, PA
NPI: 1902485535
· GRAPEVINE, TX 76051
· Pediatric Dentist
$1.43M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
9,016 |
$231K |
| 2023 |
16,977 |
$498K |
| 2024 |
17,454 |
$699K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
4,077 |
1,126 |
$387K |
| D2391 |
|
2,471 |
627 |
$185K |
| D0145 |
|
936 |
904 |
$122K |
| D0120 |
|
4,153 |
4,083 |
$112K |
| D1120 |
|
3,318 |
3,240 |
$111K |
| D1110 |
|
1,398 |
1,377 |
$71K |
| D0274 |
|
2,058 |
2,029 |
$67K |
| D1351 |
|
2,825 |
635 |
$66K |
| D1208 |
|
4,784 |
4,685 |
$65K |
| D0220 |
|
4,125 |
4,050 |
$49K |
| D0230 |
|
4,105 |
3,909 |
$45K |
| D2930 |
|
218 |
43 |
$31K |
| D7240 |
|
109 |
32 |
$28K |
| D0272 |
|
1,059 |
1,045 |
$24K |
| D9230 |
|
737 |
694 |
$19K |
| D0150 |
|
592 |
573 |
$18K |
| D0210 |
|
239 |
229 |
$15K |
| D9248 |
|
64 |
63 |
$8K |
| D2393 |
|
67 |
46 |
$6K |
| D0350 |
|
46 |
46 |
$827.10 |
| D0140 |
|
15 |
15 |
$262.92 |
| D0603 |
|
6,051 |
5,912 |
$0.00 |