MIDDLEBURY PEDIATRIC DENTISTRY, PLLC
NPI: 1053937292
· MIDDLEBURY, VT 05753
· 1223P0221X
$2.89M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
5,181 |
$183K |
| 2021 |
16,323 |
$537K |
| 2022 |
16,712 |
$497K |
| 2023 |
18,540 |
$740K |
| 2024 |
18,621 |
$932K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
12,237 |
12,038 |
$523K |
| D1206 |
|
17,217 |
16,642 |
$397K |
| D0120 |
|
9,504 |
9,414 |
$291K |
| D2392 |
|
1,904 |
1,117 |
$271K |
| D0330 |
|
2,936 |
2,898 |
$208K |
| D1351 |
|
5,641 |
1,527 |
$180K |
| D0150 |
|
2,815 |
2,736 |
$159K |
| D1354 |
|
8,668 |
1,966 |
$149K |
| D1110 |
|
2,003 |
1,985 |
$119K |
| D2930 |
|
739 |
134 |
$118K |
| D9230 |
|
1,970 |
1,905 |
$115K |
| D0272 |
|
3,006 |
2,949 |
$85K |
| D0145 |
|
1,140 |
1,120 |
$51K |
| D0240 |
|
1,815 |
1,296 |
$42K |
| D0140 |
|
796 |
782 |
$35K |
| D1330 |
|
1,380 |
1,357 |
$33K |
| D2391 |
|
316 |
214 |
$31K |
| D9420 |
|
127 |
115 |
$27K |
| D7140 |
|
229 |
84 |
$22K |
| D3240 |
|
101 |
40 |
$14K |
| D0220 |
|
369 |
353 |
$8K |
| D3220 |
|
63 |
24 |
$6K |
| D0230 |
|
388 |
122 |
$5K |
| D0274 |
|
13 |
13 |
$663.00 |