FAIRWOOD PEDODONTICSLLC
NPI: 1164197125
· RENTON, WA 98058
· 1223P0221X
$1.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,133 |
$23K |
| 2022 |
6,152 |
$132K |
| 2023 |
13,103 |
$631K |
| 2024 |
14,642 |
$548K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
|
3,328 |
668 |
$209K |
| D2392 |
|
2,418 |
702 |
$174K |
| D2332 |
|
1,393 |
333 |
$165K |
| D2930 |
|
816 |
233 |
$128K |
| D2330 |
|
1,420 |
369 |
$93K |
| D1351 |
|
3,746 |
707 |
$82K |
| D9630 |
|
2,015 |
1,912 |
$82K |
| D1206 |
|
3,307 |
3,109 |
$72K |
| D0150 |
|
1,756 |
1,589 |
$64K |
| D1120 |
|
2,639 |
2,482 |
$60K |
| D0120 |
|
1,849 |
1,801 |
$56K |
| D1110 |
|
740 |
713 |
$31K |
| D0330 |
|
860 |
785 |
$28K |
| D9999 |
|
693 |
667 |
$22K |
| D9230 |
|
763 |
659 |
$18K |
| D0220 |
|
1,989 |
1,761 |
$14K |
| D0274 |
|
625 |
580 |
$8K |
| D0272 |
|
881 |
815 |
$8K |
| D0230 |
|
3,626 |
1,600 |
$7K |
| D1354 |
|
1,022 |
151 |
$4K |
| D7140 |
|
56 |
29 |
$3K |
| D0140 |
|
88 |
73 |
$2K |