PEDIATRIC DENTISTRY ARLINGTON SOUTH, PLLC
NPI: 1023126786
· ARLINGTON, TX 76016
· 1223P0221X
$656K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
589 |
$8K |
| 2021 |
7,564 |
$184K |
| 2022 |
7,415 |
$186K |
| 2023 |
5,323 |
$121K |
| 2024 |
7,330 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
858 |
803 |
$112K |
| D1120 |
|
2,679 |
2,558 |
$91K |
| D0120 |
|
2,951 |
2,828 |
$79K |
| D2392 |
|
687 |
387 |
$59K |
| D0272 |
|
2,370 |
2,282 |
$52K |
| D2930 |
|
355 |
155 |
$48K |
| D0230 |
|
4,550 |
2,728 |
$48K |
| D1208 |
|
3,290 |
3,152 |
$45K |
| D0220 |
|
3,077 |
2,911 |
$36K |
| D1351 |
|
1,287 |
325 |
$33K |
| D9230 |
|
784 |
685 |
$19K |
| D1110 |
|
331 |
324 |
$18K |
| D0330 |
|
154 |
147 |
$9K |
| D0150 |
|
180 |
173 |
$6K |
| D0603 |
|
4,668 |
4,445 |
$0.00 |