JORDAN CREEK PEDIATRIC DENTISTRY, INC
NPI: 1144413659
· WEST DES MOINES, IA 50266
· 1223P0221X
$105K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
490 |
$17K |
| 2019 |
832 |
$27K |
| 2020 |
631 |
$21K |
| 2021 |
871 |
$25K |
| 2022 |
497 |
$14K |
| 2023 |
68 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
1,047 |
1,036 |
$43K |
| D0120 |
|
1,116 |
1,101 |
$34K |
| D1208 |
|
971 |
957 |
$24K |
| D0272 |
|
108 |
105 |
$3K |
| D0220 |
|
147 |
141 |
$3K |