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MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF ORANGE CITY, P.A.
NPI: 1124393822
· ORANGE CITY, FL 32763
· 122300000X
$1.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,094 |
$89K |
| 2021 |
2,162 |
$24K |
| 2022 |
23,662 |
$479K |
| 2023 |
25,825 |
$527K |
| 2024 |
21,035 |
$461K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
8,125 |
8,094 |
$449K |
| D2392 |
|
2,798 |
1,453 |
$203K |
| D1110 |
|
2,197 |
2,181 |
$159K |
| D0330 |
|
1,476 |
1,465 |
$131K |
| D0150 |
|
2,019 |
2,005 |
$99K |
| D7140 |
|
1,413 |
831 |
$71K |
| D9230 |
|
3,249 |
3,046 |
$65K |
| D2391 |
|
1,947 |
1,060 |
$62K |
| D2930 |
|
548 |
337 |
$59K |
| D0120 |
|
8,226 |
8,162 |
$55K |
| D1208 |
|
9,896 |
9,839 |
$44K |
| D0274 |
|
6,386 |
6,351 |
$36K |
| D0210 |
|
240 |
236 |
$26K |
| D0140 |
|
728 |
704 |
$23K |
| D2393 |
|
87 |
72 |
$17K |
| D1351 |
|
2,685 |
932 |
$17K |
| D1510 |
|
64 |
51 |
$14K |
| D0220 |
|
6,025 |
5,945 |
$14K |
| D1330 |
|
9,780 |
9,721 |
$9K |
| D9999 |
|
391 |
391 |
$9K |
| D0272 |
|
1,951 |
1,943 |
$8K |
| D0230 |
|
4,724 |
4,197 |
$5K |
| D3120 |
|
713 |
418 |
$3K |
| D0999 |
|
51 |
51 |
$1K |
| D9920 |
|
25 |
24 |
$754.55 |
| D1206 |
|
34 |
34 |
$0.00 |