GILLETTE PEDIATRIC DENTISTRY LLC
NPI: 1013289966
· SHERIDAN, WY 82801
· 1223P0221X
$2.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,587 |
$225K |
| 2019 |
8,870 |
$310K |
| 2020 |
8,370 |
$261K |
| 2021 |
14,763 |
$398K |
| 2022 |
15,249 |
$454K |
| 2023 |
17,223 |
$611K |
| 2024 |
16,040 |
$592K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
14,029 |
13,558 |
$476K |
| D1120 |
|
12,358 |
11,919 |
$417K |
| D0120 |
|
11,931 |
11,510 |
$379K |
| D2392 |
|
3,585 |
1,663 |
$327K |
| D2391 |
|
2,417 |
1,155 |
$186K |
| D1351 |
|
6,738 |
2,001 |
$182K |
| D1110 |
|
3,303 |
3,199 |
$163K |
| D0272 |
|
9,820 |
9,481 |
$147K |
| D0330 |
|
2,255 |
2,193 |
$123K |
| D0220 |
|
6,244 |
6,015 |
$95K |
| D0150 |
|
2,256 |
2,226 |
$79K |
| D9230 |
|
3,126 |
2,947 |
$74K |
| D0274 |
|
3,317 |
3,177 |
$70K |
| D0230 |
|
3,610 |
3,361 |
$53K |
| D2930 |
|
297 |
83 |
$43K |
| D7140 |
|
298 |
163 |
$21K |
| D1330 |
|
1,281 |
1,265 |
$7K |
| D0140 |
|
107 |
106 |
$5K |
| D9248 |
|
37 |
36 |
$4K |
| D0145 |
|
12 |
12 |
$429.00 |
| D1310 |
|
12 |
12 |
$107.25 |
| D1999 |
|
69 |
69 |
$0.00 |