PEDIATRIC DENTAL SPECIALISTS OF WEST MICHIGAN
NPI: 1184194433
· GRAND RAPIDS, MI 49546
· 1223P0221X
$11.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
7,241 |
$694K |
| 2020 |
18,890 |
$1.53M |
| 2021 |
39,983 |
$2.91M |
| 2022 |
37,031 |
$2.43M |
| 2023 |
34,241 |
$1.98M |
| 2024 |
27,259 |
$1.46M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
17,875 |
5,098 |
$3.47M |
| D2392 |
|
9,399 |
4,081 |
$1.14M |
| D3220 |
|
8,390 |
3,448 |
$1.06M |
| D7140 |
|
9,287 |
4,030 |
$790K |
| D1120 |
|
15,324 |
15,302 |
$615K |
| D2390 |
|
2,123 |
825 |
$423K |
| D1206 |
|
15,120 |
15,101 |
$409K |
| D0120 |
|
11,096 |
11,093 |
$358K |
| D1354 |
|
10,933 |
2,681 |
$300K |
| D0230 |
|
23,619 |
7,567 |
$293K |
| D2393 |
|
1,869 |
1,118 |
$265K |
| D9920 |
|
5,625 |
5,146 |
$249K |
| D9310 |
|
2,712 |
2,710 |
$188K |
| D2332 |
|
1,439 |
854 |
$182K |
| D1510 |
|
924 |
773 |
$181K |
| D0220 |
|
9,863 |
9,710 |
$172K |
| D2330 |
|
1,782 |
995 |
$149K |
| D2391 |
|
1,363 |
679 |
$122K |
| D0150 |
|
1,985 |
1,982 |
$109K |
| D0140 |
|
1,651 |
1,631 |
$97K |
| D1351 |
|
3,051 |
909 |
$92K |
| D0145 |
|
1,571 |
1,571 |
$62K |
| D0272 |
|
2,607 |
2,607 |
$62K |
| D0330 |
|
631 |
631 |
$43K |
| D9248 |
|
728 |
685 |
$38K |
| D0210 |
|
740 |
631 |
$37K |
| D0240 |
|
1,865 |
1,052 |
$35K |
| D9420 |
|
327 |
305 |
$35K |
| D2934 |
|
109 |
55 |
$24K |
| D2920 |
|
94 |
83 |
$4K |
| D0274 |
|
55 |
55 |
$2K |
| D7960 |
|
70 |
61 |
$0.00 |
| D7962 |
|
304 |
301 |
$0.00 |
| D7961 |
|
114 |
112 |
$0.00 |