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LAKESHORE PEDIATRIC DENTISTRY PLLC
LAKESHORE PEDIATRIC DENTISTRY PLLC
NPI: 1114586625
· PERU, NY 12972
· 1223P0221X
$940K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
233 |
$5K |
| 2020 |
1,932 |
$55K |
| 2021 |
5,317 |
$163K |
| 2022 |
6,935 |
$215K |
| 2023 |
5,126 |
$164K |
| 2024 |
9,935 |
$338K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
7,166 |
7,166 |
$306K |
| D0120 |
|
6,036 |
6,036 |
$164K |
| D1206 |
|
3,842 |
3,842 |
$115K |
| D2392 |
|
755 |
445 |
$69K |
| D0272 |
|
3,489 |
3,489 |
$57K |
| D1208 |
|
3,664 |
3,664 |
$51K |
| D0150 |
|
1,202 |
1,202 |
$36K |
| D1110 |
|
611 |
611 |
$33K |
| D1351 |
|
603 |
254 |
$31K |
| D7140 |
|
639 |
282 |
$30K |
| D9230 |
|
701 |
683 |
$14K |
| D0330 |
|
204 |
204 |
$8K |
| D2391 |
|
90 |
88 |
$7K |
| D9310 |
|
52 |
52 |
$4K |
| D2930 |
|
29 |
12 |
$3K |
| D7962 |
|
15 |
15 |
$3K |
| D7961 |
|
15 |
15 |
$3K |
| D0145 |
|
78 |
78 |
$2K |
| D0220 |
|
68 |
67 |
$884.18 |
| D9430 |
|
32 |
32 |
$656.00 |
| D0274 |
|
24 |
24 |
$654.24 |
| D0140 |
|
24 |
24 |
$342.20 |
| D1330 |
|
80 |
80 |
$0.00 |
| D0603 |
|
43 |
43 |
$0.00 |
| D0602 |
|
16 |
16 |
$0.00 |