HAMILTON PEDIATRIC DENTISTRY PC
NPI: 1184054587
· GRAND RAPIDS, MI 49525
· 261QD0000X
$1.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
3,271 |
$197K |
| 2021 |
6,021 |
$339K |
| 2022 |
7,651 |
$504K |
| 2023 |
7,973 |
$526K |
| 2024 |
6,939 |
$428K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2930 |
|
3,582 |
1,240 |
$682K |
| D1120 |
|
4,673 |
4,673 |
$192K |
| D7140 |
|
2,067 |
817 |
$182K |
| D2391 |
|
1,912 |
1,131 |
$176K |
| D1206 |
|
4,973 |
4,973 |
$136K |
| D0120 |
|
3,690 |
3,690 |
$121K |
| D9310 |
|
1,078 |
1,077 |
$77K |
| D1510 |
|
399 |
248 |
$76K |
| D2390 |
|
333 |
162 |
$66K |
| D0272 |
|
3,068 |
3,067 |
$57K |
| D0240 |
|
1,883 |
996 |
$38K |
| D2392 |
|
303 |
191 |
$38K |
| D1351 |
|
1,177 |
432 |
$37K |
| D0140 |
|
488 |
483 |
$28K |
| D0274 |
|
476 |
476 |
$15K |
| D3220 |
|
110 |
71 |
$14K |
| D0220 |
|
774 |
768 |
$14K |
| D1110 |
|
247 |
247 |
$14K |
| D7111 |
|
159 |
91 |
$11K |
| D0330 |
|
91 |
91 |
$7K |
| D9920 |
|
89 |
82 |
$5K |
| D9420 |
|
35 |
35 |
$4K |
| D1354 |
|
133 |
68 |
$3K |
| D0230 |
|
54 |
31 |
$704.00 |
| D0210 |
|
12 |
12 |
$646.00 |
| D3120 |
|
49 |
26 |
$0.00 |