SOUTHERN PEDIATRIC DENTISTRY P.A.
NPI: 1003295031
· ANDERSON, SC 29621
· 1223P0221X
$6.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,492 |
$643K |
| 2019 |
22,653 |
$775K |
| 2020 |
24,222 |
$832K |
| 2021 |
28,012 |
$938K |
| 2022 |
31,076 |
$1.03M |
| 2023 |
24,252 |
$729K |
| 2024 |
28,636 |
$1.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
24,940 |
24,940 |
$861K |
| D2930 |
|
5,126 |
1,905 |
$641K |
| D2392 |
|
5,802 |
3,632 |
$584K |
| D0120 |
|
24,574 |
24,574 |
$570K |
| D7140 |
|
5,319 |
2,699 |
$502K |
| D1206 |
|
29,788 |
29,788 |
$486K |
| D9230 |
|
9,849 |
9,595 |
$304K |
| D2391 |
|
3,478 |
2,364 |
$282K |
| D1110 |
|
4,936 |
4,936 |
$244K |
| D9248 |
|
3,133 |
3,081 |
$206K |
| D1351 |
|
6,793 |
1,954 |
$197K |
| D0272 |
|
8,981 |
8,981 |
$167K |
| D0230 |
|
17,021 |
6,166 |
$158K |
| D0330 |
|
3,081 |
3,081 |
$154K |
| D0145 |
|
2,926 |
2,926 |
$136K |
| D0140 |
|
3,401 |
3,355 |
$129K |
| D0150 |
|
2,952 |
2,952 |
$119K |
| D0220 |
|
8,997 |
8,911 |
$114K |
| D0274 |
|
2,576 |
2,576 |
$71K |
| D0240 |
|
3,133 |
2,908 |
$59K |
| D3220 |
|
262 |
164 |
$22K |
| D9420 |
|
88 |
88 |
$8K |
| D9310 |
|
111 |
111 |
$7K |
| D2332 |
|
41 |
25 |
$4K |
| D2330 |
|
35 |
26 |
$2K |