FREMONT CHILDREN'S DENTISTRY, LLC
NPI: 1083987911
· FREMONT, NE 68025
· 1223P0221X
$1.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,723 |
$266K |
| 2019 |
9,552 |
$226K |
| 2020 |
10,772 |
$279K |
| 2021 |
10,206 |
$243K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
1,680 |
348 |
$199K |
| D1206 |
|
8,150 |
7,853 |
$187K |
| D1120 |
|
7,132 |
7,114 |
$181K |
| D0120 |
|
6,356 |
6,354 |
$141K |
| D1351 |
|
2,789 |
835 |
$69K |
| D0272 |
|
5,138 |
5,131 |
$64K |
| D1999 |
|
2,903 |
2,872 |
$29K |
| D2391 |
|
472 |
305 |
$27K |
| D9230 |
|
886 |
858 |
$23K |
| D0140 |
|
940 |
927 |
$21K |
| D9420 |
|
185 |
185 |
$15K |
| D2392 |
|
137 |
77 |
$10K |
| D0274 |
|
538 |
538 |
$10K |
| D0150 |
|
401 |
401 |
$9K |
| D0220 |
|
1,389 |
1,373 |
$8K |
| D2934 |
|
58 |
14 |
$8K |
| D1110 |
|
181 |
181 |
$6K |
| D0230 |
|
778 |
685 |
$4K |
| D0210 |
|
57 |
57 |
$3K |
| D0145 |
|
13 |
13 |
$500.37 |
| D0330 |
|
70 |
70 |
$337.05 |