WILLIAMSBURG PEDIATRIC DENTISTRY PLLC
NPI: 1033455449
· NEWPORT NEWS, VA 23606
· 1223P0221X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
6,852 |
$174K |
| 2019 |
6,957 |
$171K |
| 2020 |
8,266 |
$180K |
| 2021 |
12,686 |
$271K |
| 2022 |
12,673 |
$318K |
| 2023 |
11,956 |
$178K |
| 2024 |
9,163 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
12,258 |
12,116 |
$327K |
| D0120 |
|
13,758 |
13,614 |
$219K |
| D1206 |
|
11,521 |
11,385 |
$195K |
| D1110 |
|
3,154 |
3,125 |
$112K |
| D0272 |
|
5,761 |
5,704 |
$96K |
| D9230 |
|
2,284 |
2,205 |
$58K |
| D9994 |
|
6,813 |
6,616 |
$56K |
| D0150 |
|
1,889 |
1,872 |
$47K |
| D1208 |
|
3,067 |
3,054 |
$45K |
| D1351 |
|
1,264 |
390 |
$32K |
| D0220 |
|
2,684 |
2,629 |
$24K |
| D2391 |
|
555 |
403 |
$21K |
| D2392 |
|
281 |
214 |
$13K |
| D9630 |
|
698 |
671 |
$13K |
| D0210 |
|
274 |
274 |
$10K |
| D0230 |
|
1,151 |
979 |
$10K |
| D2930 |
|
26 |
12 |
$4K |
| D7140 |
|
165 |
100 |
$3K |
| D0274 |
|
295 |
290 |
$3K |
| D0140 |
|
186 |
185 |
$2K |
| D0330 |
|
26 |
26 |
$1K |
| D1355 |
|
36 |
13 |
$1K |
| D9992 |
|
235 |
230 |
$927.36 |
| D9990 |
|
64 |
64 |
$922.50 |
| D0240 |
|
70 |
36 |
$269.94 |
| D7962 |
|
12 |
12 |
$0.00 |
| D1354 |
|
26 |
16 |
$0.00 |