PEDIATRIC DENTAL CENTER OF FREDERICK, LLC
NPI: 1114094398
· FREDERICK, MD 21704
· 1223P0221X
$22.87M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58,201 |
$2.56M |
| 2019 |
72,571 |
$2.81M |
| 2020 |
72,974 |
$2.90M |
| 2021 |
63,533 |
$2.57M |
| 2022 |
87,463 |
$3.86M |
| 2023 |
90,797 |
$4.14M |
| 2024 |
84,116 |
$4.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
28,201 |
13,974 |
$3.33M |
| D2930 |
|
22,422 |
6,987 |
$2.90M |
| D1120 |
|
59,042 |
56,937 |
$2.46M |
| D0120 |
|
70,701 |
68,163 |
$1.99M |
| D1351 |
|
59,105 |
14,761 |
$1.91M |
| D1208 |
|
77,614 |
74,801 |
$1.70M |
| D2391 |
|
18,287 |
10,513 |
$1.68M |
| D1110 |
|
19,678 |
18,878 |
$1.13M |
| D7140 |
|
10,494 |
5,502 |
$1.05M |
| D2393 |
|
5,930 |
3,806 |
$876K |
| D9230 |
|
31,177 |
28,378 |
$719K |
| D3220 |
|
7,269 |
3,119 |
$510K |
| D0150 |
|
8,857 |
8,533 |
$430K |
| D0330 |
|
6,921 |
6,682 |
$312K |
| D0272 |
|
17,786 |
17,092 |
$293K |
| D2335 |
|
1,839 |
916 |
$279K |
| D0140 |
|
6,641 |
6,215 |
$270K |
| D3120 |
|
7,281 |
4,100 |
$248K |
| D0274 |
|
10,196 |
9,812 |
$245K |
| D1330 |
|
32,675 |
32,183 |
$203K |
| D0220 |
|
14,586 |
13,538 |
$157K |
| D0230 |
|
8,834 |
5,288 |
$89K |
| D2330 |
|
496 |
288 |
$38K |
| D0240 |
|
2,940 |
2,656 |
$33K |
| D2332 |
|
164 |
84 |
$19K |
| D0270 |
|
475 |
446 |
$5K |
| D1510 |
|
16 |
12 |
$1K |
| D0210 |
|
14 |
14 |
$798.00 |
| D1206 |
|
14 |
14 |
$348.88 |