JAMISON PEDIATRIC DENTISTRY PLLC
NPI: 1194104505
· FORT WORTH, TX 76109
· 1223P0221X
$1.44M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,240 |
$85K |
| 2021 |
17,554 |
$593K |
| 2022 |
16,471 |
$477K |
| 2023 |
10,719 |
$290K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
3,763 |
686 |
$497K |
| D1120 |
|
4,976 |
4,826 |
$170K |
| D0120 |
|
6,301 |
6,121 |
$169K |
| D1208 |
|
6,319 |
6,124 |
$87K |
| D0272 |
|
3,533 |
3,405 |
$77K |
| D1110 |
|
1,260 |
1,237 |
$65K |
| D1351 |
|
2,423 |
750 |
$63K |
| D0145 |
|
444 |
435 |
$61K |
| D9230 |
|
1,878 |
1,696 |
$48K |
| D2392 |
|
526 |
311 |
$46K |
| D0220 |
|
2,611 |
2,477 |
$30K |
| D0150 |
|
891 |
839 |
$28K |
| D7140 |
|
519 |
241 |
$26K |
| D0230 |
|
2,181 |
1,840 |
$22K |
| D0274 |
|
606 |
593 |
$20K |
| D2391 |
|
266 |
177 |
$19K |
| D9420 |
|
274 |
266 |
$9K |
| D3220 |
|
79 |
39 |
$7K |
| D1206 |
|
32 |
30 |
$308.70 |
| D0603 |
|
8,102 |
7,978 |
$0.00 |