MOCO PEDIATRIC DENTISTS LLC
NPI: 1053997361
· ROCKVILLE, MD 20850
· 1223X0400X
$1.65M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
10,435 |
$381K |
| 2022 |
14,864 |
$467K |
| 2023 |
13,140 |
$440K |
| 2024 |
10,503 |
$365K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
9,204 |
1,196 |
$308K |
| D1120 |
|
5,494 |
5,397 |
$247K |
| D1206 |
|
9,314 |
9,158 |
$233K |
| D0120 |
|
7,049 |
6,917 |
$215K |
| D1110 |
|
2,954 |
2,906 |
$183K |
| D2392 |
|
1,152 |
570 |
$139K |
| D0150 |
|
1,178 |
1,174 |
$61K |
| D0274 |
|
2,588 |
2,548 |
$60K |
| D0272 |
|
3,579 |
3,516 |
$56K |
| D2391 |
|
456 |
243 |
$42K |
| D0140 |
|
920 |
898 |
$42K |
| D9230 |
|
1,250 |
1,204 |
$24K |
| D1330 |
|
3,171 |
3,124 |
$21K |
| D0330 |
|
327 |
320 |
$14K |
| D2393 |
|
24 |
13 |
$4K |
| D1208 |
|
156 |
154 |
$4K |
| D0220 |
|
87 |
86 |
$863.70 |
| D0270 |
|
27 |
27 |
$243.00 |
| D9910 |
|
12 |
12 |
$120.00 |