GRANGER PEDIATRIC DENTISTRY
NPI: 1154637825
· WEST VALLEY CITY, UT 84119
· 261QD0000X
$2.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,415 |
$47K |
| 2019 |
5,443 |
$192K |
| 2020 |
4,621 |
$165K |
| 2021 |
6,366 |
$218K |
| 2022 |
20,566 |
$720K |
| 2023 |
18,263 |
$607K |
| 2024 |
14,218 |
$459K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
9,638 |
9,598 |
$886K |
| D1351 |
|
6,273 |
1,085 |
$232K |
| D0220 |
|
5,783 |
5,652 |
$178K |
| D1120 |
|
9,936 |
9,894 |
$174K |
| D2392 |
|
2,481 |
1,005 |
$153K |
| D0272 |
|
5,113 |
5,083 |
$147K |
| D1206 |
|
10,627 |
10,582 |
$90K |
| D0150 |
|
731 |
724 |
$82K |
| D2391 |
|
1,420 |
714 |
$81K |
| D2930 |
|
883 |
288 |
$70K |
| D0230 |
|
9,591 |
4,250 |
$65K |
| D7140 |
|
1,021 |
513 |
$57K |
| D0330 |
|
1,228 |
1,219 |
$45K |
| D0274 |
|
2,304 |
2,293 |
$44K |
| D1110 |
|
528 |
524 |
$23K |
| D0140 |
|
493 |
480 |
$20K |
| D2140 |
|
850 |
391 |
$15K |
| D3220 |
|
449 |
163 |
$15K |
| D2150 |
|
1,441 |
596 |
$13K |
| D9420 |
|
25 |
25 |
$11K |
| D2330 |
|
24 |
13 |
$3K |
| D9248 |
|
28 |
28 |
$3K |
| D2332 |
|
25 |
13 |
$2K |