THE PROFESSIONAL DENTURE CENTER
NPI: 1962916379
· MOSES LAKE, WA 98837
· Denturist
· NPI assigned 11/21/2017
$525K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
248 |
$24K |
| 2019 |
225 |
$20K |
| 2020 |
68 |
$1K |
| 2023 |
73 |
$39K |
| 2024 |
3,211 |
$441K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
911 |
285 |
$164K |
| D5110 |
|
196 |
177 |
$113K |
| D5120 |
|
131 |
121 |
$77K |
| D9243 |
|
342 |
273 |
$53K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
444 |
115 |
$47K |
| D0140 |
Limited oral evaluation - problem focused |
979 |
936 |
$25K |
| D9239 |
|
335 |
272 |
$18K |
| D9612 |
|
256 |
252 |
$13K |
| D7230 |
|
56 |
36 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
64 |
12 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
82 |
$2K |
| D5750 |
|
15 |
13 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$546.48 |