WOODSIDE PEDIATRIC DENTISTRY
NPI: 1154467249
· WARRENTON, VA 20186
· Pediatric Dentist
· NPI assigned 01/29/2007
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | WOODSIDE, JENNIFER (DENTIST) |
| NPI Enumeration Date | 01/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,994 |
$245K |
| 2019 |
7,954 |
$232K |
| 2020 |
7,362 |
$226K |
| 2021 |
8,066 |
$242K |
| 2022 |
7,869 |
$268K |
| 2023 |
8,575 |
$158K |
| 2024 |
5,080 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,760 |
1,977 |
$274K |
| D1120 |
|
8,911 |
8,825 |
$249K |
| D1208 |
|
10,956 |
10,854 |
$194K |
| D0120 |
|
10,370 |
10,274 |
$175K |
| D9230 |
|
3,054 |
3,001 |
$88K |
| D1110 |
|
2,235 |
2,217 |
$87K |
| D0272 |
|
3,703 |
3,661 |
$62K |
| D7140 |
|
1,154 |
706 |
$61K |
| D1351 |
|
2,039 |
583 |
$54K |
| D2391 |
|
399 |
236 |
$27K |
| D0274 |
|
1,034 |
1,021 |
$24K |
| D0220 |
|
2,366 |
2,342 |
$22K |
| D0150 |
|
688 |
684 |
$16K |
| D0230 |
|
1,190 |
1,029 |
$11K |
| D2393 |
|
127 |
98 |
$8K |
| D0210 |
|
191 |
187 |
$7K |
| D0240 |
|
619 |
569 |
$5K |
| D0330 |
|
78 |
78 |
$4K |
| D0140 |
|
14 |
12 |
$347.62 |
| D1206 |
|
12 |
12 |
$0.00 |