COASTAL PEDIATRIC DENTISTRY, LLC
NPI: 1184167553
· GULFPORT, MS 39501
· 261QD0000X
$688K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,021 |
$38K |
| 2019 |
2,516 |
$71K |
| 2020 |
2,044 |
$53K |
| 2021 |
3,532 |
$92K |
| 2022 |
4,641 |
$108K |
| 2023 |
3,235 |
$132K |
| 2024 |
4,433 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,561 |
1,429 |
$224K |
| D1120 |
|
5,104 |
4,192 |
$113K |
| D0274 |
|
3,926 |
3,208 |
$64K |
| D1208 |
|
4,567 |
3,758 |
$57K |
| D0120 |
|
2,138 |
1,913 |
$55K |
| D0330 |
|
1,237 |
1,064 |
$37K |
| D0140 |
|
899 |
795 |
$31K |
| D0150 |
|
2,029 |
1,495 |
$30K |
| D2930 |
|
122 |
76 |
$17K |
| D7140 |
|
243 |
135 |
$16K |
| D1351 |
|
652 |
183 |
$14K |
| D2393 |
|
73 |
56 |
$10K |
| D0210 |
|
152 |
143 |
$9K |
| D0272 |
|
269 |
193 |
$3K |
| D9230 |
|
111 |
87 |
$3K |
| D2391 |
|
59 |
29 |
$2K |
| D0220 |
|
172 |
159 |
$2K |
| D0230 |
|
108 |
100 |
$899.03 |