INDIGO PEDIATRIC DENTISTRY
NPI: 1174082713
· EASLEY, SC 29642
· 1223P0221X
$1.78M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
7,499 |
$268K |
| 2020 |
5,042 |
$165K |
| 2021 |
9,889 |
$296K |
| 2022 |
11,576 |
$368K |
| 2023 |
10,376 |
$308K |
| 2024 |
10,521 |
$373K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,390 |
9,321 |
$319K |
| D2392 |
|
2,080 |
1,406 |
$212K |
| D0120 |
|
9,004 |
8,929 |
$206K |
| D2930 |
|
1,638 |
738 |
$206K |
| D1206 |
|
10,482 |
10,401 |
$168K |
| D7140 |
|
1,159 |
568 |
$108K |
| D0272 |
|
5,333 |
5,299 |
$98K |
| D9230 |
|
2,851 |
2,738 |
$89K |
| D1110 |
|
1,314 |
1,302 |
$63K |
| D1351 |
|
1,581 |
625 |
$45K |
| D0150 |
|
1,101 |
1,100 |
$43K |
| D0145 |
|
770 |
770 |
$42K |
| D0220 |
|
3,102 |
3,064 |
$39K |
| D3220 |
|
457 |
252 |
$37K |
| D0230 |
|
2,311 |
1,488 |
$24K |
| D0140 |
|
565 |
558 |
$21K |
| D0330 |
|
368 |
368 |
$18K |
| D2391 |
|
232 |
174 |
$18K |
| D1354 |
|
987 |
357 |
$11K |
| D9310 |
|
120 |
120 |
$7K |
| D2393 |
|
36 |
28 |
$4K |
| D7111 |
|
22 |
12 |
$1K |