FDG SERVICIOS DENTALES, PSC
NPI: 1134282304
· SAN ANTONIO, PR 00690
· 1223G0001X
$1.83M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,450 |
$199K |
| 2019 |
13,723 |
$249K |
| 2020 |
8,800 |
$184K |
| 2021 |
14,840 |
$281K |
| 2022 |
15,016 |
$291K |
| 2023 |
16,397 |
$299K |
| 2024 |
16,641 |
$331K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
18,401 |
16,902 |
$483K |
| D0120 |
|
20,820 |
19,047 |
$284K |
| D1999 |
|
18,709 |
17,447 |
$279K |
| D0272 |
|
12,825 |
11,772 |
$185K |
| D0330 |
|
6,303 |
5,768 |
$181K |
| D1208 |
|
8,694 |
7,885 |
$122K |
| D1120 |
|
5,333 |
4,830 |
$98K |
| D2150 |
|
2,358 |
1,824 |
$89K |
| D0150 |
|
2,282 |
2,089 |
$46K |
| D2140 |
|
1,196 |
996 |
$36K |
| D2160 |
|
405 |
343 |
$16K |
| D7140 |
|
307 |
239 |
$8K |
| D0140 |
|
125 |
116 |
$2K |
| D2335 |
|
37 |
26 |
$2K |
| D2331 |
|
44 |
26 |
$2K |
| D7210 |
|
12 |
12 |
$421.20 |
| D2330 |
|
16 |
14 |
$347.00 |