SOUTH JOSEY LANE FAMILY DENTAL PLLC
NPI: 1053907501
· CARROLLTON, TX 75006
· 1223G0001X
$969K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,579 |
$36K |
| 2022 |
10,510 |
$279K |
| 2023 |
12,226 |
$381K |
| 2024 |
10,142 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,480 |
1,443 |
$200K |
| D1351 |
|
6,273 |
1,009 |
$156K |
| D2392 |
|
1,411 |
427 |
$138K |
| D1120 |
|
2,428 |
2,369 |
$84K |
| D0120 |
|
1,969 |
1,914 |
$54K |
| D0230 |
|
4,412 |
2,425 |
$46K |
| D1208 |
|
3,071 |
2,999 |
$43K |
| D0150 |
|
1,223 |
1,198 |
$41K |
| D1110 |
|
675 |
658 |
$35K |
| D0220 |
|
2,754 |
2,632 |
$31K |
| D2391 |
|
380 |
145 |
$27K |
| D0272 |
|
1,690 |
1,646 |
$26K |
| D0330 |
|
709 |
695 |
$23K |
| D0274 |
|
718 |
701 |
$22K |
| D2930 |
|
126 |
28 |
$18K |
| D0210 |
|
221 |
220 |
$15K |
| D9248 |
|
64 |
60 |
$7K |
| D9230 |
|
35 |
35 |
$921.74 |
| D0140 |
|
38 |
38 |
$676.08 |
| D1206 |
|
19 |
19 |
$279.30 |
| D0603 |
|
4,761 |
4,664 |
$0.08 |