MARBLE CITY PEDIATRIC DENTISTRY
NPI: 1114321643
· SYLACAUGA, AL 35150
· 305R00000X
$2.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,945 |
$232K |
| 2019 |
8,821 |
$252K |
| 2020 |
8,690 |
$226K |
| 2021 |
11,892 |
$312K |
| 2022 |
14,068 |
$358K |
| 2023 |
13,329 |
$403K |
| 2024 |
18,177 |
$474K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2393 |
|
6,375 |
2,450 |
$536K |
| D1120 |
|
10,120 |
9,599 |
$262K |
| D0120 |
|
10,998 |
10,446 |
$192K |
| D1208 |
|
13,442 |
12,737 |
$181K |
| D2930 |
|
1,939 |
519 |
$161K |
| D1999 |
|
7,936 |
7,217 |
$146K |
| D7140 |
|
2,514 |
1,354 |
$121K |
| D0330 |
|
2,255 |
2,112 |
$97K |
| D9230 |
|
4,582 |
4,148 |
$90K |
| D0272 |
|
5,388 |
5,116 |
$88K |
| D0240 |
|
4,003 |
1,904 |
$64K |
| D1110 |
|
1,969 |
1,842 |
$63K |
| D0140 |
|
1,983 |
1,838 |
$50K |
| D2392 |
|
635 |
421 |
$46K |
| D1351 |
|
2,492 |
697 |
$42K |
| D0150 |
|
1,871 |
1,730 |
$41K |
| D1354 |
|
945 |
270 |
$26K |
| D0274 |
|
877 |
820 |
$18K |
| D0220 |
|
1,497 |
1,401 |
$14K |
| D1206 |
|
332 |
303 |
$6K |
| D0230 |
|
627 |
501 |
$6K |
| D2335 |
|
42 |
24 |
$3K |
| D0145 |
|
100 |
98 |
$2K |