NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC
NPI: 1043351950
· GARDENDALE, AL 35071
· Pediatric Dentist
· NPI assigned 02/12/2007
$1.52M
Total Medicaid Paid
Provider Details
| Authorized Official | DEVINE, SELENA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,896 |
$213K |
| 2019 |
9,006 |
$199K |
| 2020 |
9,586 |
$191K |
| 2021 |
11,598 |
$260K |
| 2022 |
11,482 |
$255K |
| 2023 |
8,587 |
$206K |
| 2024 |
7,936 |
$195K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,916 |
9,529 |
$259K |
| D0120 |
|
12,228 |
11,854 |
$238K |
| D1208 |
|
11,472 |
11,041 |
$171K |
| D2392 |
|
1,708 |
1,196 |
$137K |
| D1110 |
|
3,367 |
3,257 |
$126K |
| D1999 |
|
8,574 |
7,147 |
$124K |
| D0330 |
|
1,858 |
1,745 |
$86K |
| D9230 |
|
3,874 |
3,290 |
$80K |
| D0272 |
|
3,368 |
3,217 |
$59K |
| D7140 |
|
736 |
403 |
$40K |
| D2391 |
|
492 |
421 |
$32K |
| D1206 |
|
1,620 |
1,551 |
$31K |
| D0220 |
|
2,939 |
2,751 |
$31K |
| D0274 |
|
1,284 |
1,236 |
$30K |
| D0230 |
|
2,125 |
968 |
$20K |
| D0150 |
|
832 |
753 |
$17K |
| D0140 |
|
630 |
592 |
$17K |
| D1351 |
|
651 |
192 |
$15K |
| D0240 |
|
417 |
339 |
$6K |