MAGICLAND PEDIATRIC DENTAL LLC
NPI: 1033622246
· WATERBURY, CT 06705
· 1223X0400X
$6.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,487 |
$219K |
| 2019 |
10,810 |
$512K |
| 2020 |
8,292 |
$379K |
| 2021 |
20,781 |
$1.14M |
| 2022 |
24,856 |
$1.26M |
| 2023 |
31,887 |
$1.56M |
| 2024 |
32,903 |
$1.58M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
29,179 |
29,038 |
$1.30M |
| D2150 |
|
8,733 |
5,000 |
$933K |
| D0120 |
|
21,102 |
21,012 |
$717K |
| D1206 |
|
22,938 |
22,844 |
$643K |
| D0150 |
|
7,830 |
7,792 |
$494K |
| D7140 |
|
3,342 |
2,253 |
$370K |
| D2930 |
|
1,381 |
1,084 |
$272K |
| D0272 |
|
6,702 |
6,681 |
$208K |
| D0140 |
|
3,876 |
3,838 |
$180K |
| D3220 |
|
1,377 |
1,082 |
$178K |
| D2160 |
|
1,250 |
1,026 |
$171K |
| D9230 |
|
2,922 |
2,525 |
$168K |
| D1208 |
|
5,758 |
5,709 |
$161K |
| D2392 |
|
1,427 |
942 |
$154K |
| D0274 |
|
3,215 |
3,202 |
$150K |
| D1351 |
|
3,093 |
832 |
$120K |
| D2140 |
|
1,230 |
904 |
$110K |
| D0220 |
|
5,423 |
5,359 |
$100K |
| D0330 |
|
1,096 |
1,088 |
$91K |
| D2391 |
|
509 |
387 |
$46K |
| D7111 |
|
311 |
247 |
$27K |
| D2335 |
|
118 |
74 |
$24K |
| D0230 |
|
1,164 |
869 |
$19K |
| D2393 |
|
19 |
15 |
$3K |
| D9310 |
|
21 |
21 |
$699.72 |