CHILDRENS DENTISTRY OF RI LLC
NPI: 1114680220
· WESTERLY, RI 02891
· 261QD0000X
$175K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,551 |
$51K |
| 2023 |
1,866 |
$66K |
| 2024 |
1,643 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
1,670 |
1,645 |
$72K |
| D0120 |
|
1,440 |
1,411 |
$47K |
| D1208 |
|
1,111 |
1,070 |
$29K |
| D1206 |
|
483 |
479 |
$13K |
| D0272 |
|
292 |
291 |
$9K |
| D2392 |
|
38 |
28 |
$4K |
| D0150 |
|
14 |
14 |
$891.80 |
| D0274 |
|
12 |
12 |
$564.48 |