PEDIATRIC DENTISTRY OF KINGSTON PLLC
NPI: 1053651554
· KINGSTON, NY 12401
· 1223D0004X
$12.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
8,031 |
$250K |
| 2019 |
20,200 |
$750K |
| 2020 |
37,185 |
$1.36M |
| 2021 |
60,579 |
$2.17M |
| 2022 |
59,184 |
$2.58M |
| 2023 |
65,692 |
$2.68M |
| 2024 |
60,975 |
$2.47M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
41,080 |
41,057 |
$2.31M |
| D0120 |
|
44,269 |
44,252 |
$1.71M |
| D2392 |
|
11,095 |
7,972 |
$1.46M |
| D1351 |
|
14,152 |
6,507 |
$1.04M |
| D1110 |
|
10,362 |
10,356 |
$771K |
| D1208 |
|
31,931 |
31,915 |
$743K |
| D0272 |
|
31,543 |
31,524 |
$688K |
| D2930 |
|
2,963 |
2,098 |
$674K |
| D1206 |
|
17,864 |
17,845 |
$655K |
| D2391 |
|
5,352 |
4,269 |
$476K |
| D7140 |
|
3,631 |
2,792 |
$293K |
| D0150 |
|
6,697 |
6,688 |
$257K |
| D0220 |
|
12,126 |
12,086 |
$214K |
| D0274 |
|
5,023 |
5,021 |
$178K |
| D2393 |
|
1,221 |
1,067 |
$177K |
| D3220 |
|
1,073 |
864 |
$152K |
| D9223 |
|
328 |
314 |
$109K |
| D0230 |
|
7,635 |
7,445 |
$95K |
| D2332 |
|
379 |
295 |
$67K |
| D0330 |
|
704 |
704 |
$33K |
| D2330 |
|
275 |
217 |
$29K |
| D9222 |
|
298 |
298 |
$29K |
| D0140 |
|
1,407 |
1,405 |
$27K |
| D9230 |
|
2,310 |
2,136 |
$26K |
| D2335 |
|
92 |
65 |
$24K |
| D1354 |
|
115 |
51 |
$7K |
| D0210 |
|
207 |
207 |
$7K |
| D0145 |
|
166 |
166 |
$6K |
| D9995 |
|
46 |
46 |
$563.52 |
| D0270 |
|
28 |
28 |
$480.90 |
| D1999 |
|
10,843 |
10,234 |
$150.00 |
| D0603 |
|
12,985 |
12,963 |
$50.00 |
| D1330 |
|
23,839 |
23,809 |
$25.00 |
| D0602 |
|
7,529 |
7,526 |
$0.00 |
| D0601 |
|
1,199 |
1,196 |
$0.00 |
| D1310 |
|
945 |
945 |
$0.00 |
| D9986 |
|
134 |
134 |
$0.00 |