FADAL PEDIATRIC DENTISTRY, PA
NPI: 1194129627
· LONGVIEW, TX 75605
· 1223P0221X
$4.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
56 |
$1K |
| 2020 |
2,519 |
$91K |
| 2021 |
34,950 |
$1.20M |
| 2022 |
35,734 |
$1.24M |
| 2023 |
28,431 |
$951K |
| 2024 |
21,236 |
$636K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
4,614 |
2,734 |
$637K |
| D1120 |
|
13,357 |
13,154 |
$467K |
| D2392 |
|
4,858 |
3,367 |
$454K |
| D0145 |
|
2,919 |
2,896 |
$405K |
| D0120 |
|
14,419 |
14,187 |
$400K |
| D9248 |
|
3,329 |
3,268 |
$360K |
| D1208 |
|
14,776 |
14,537 |
$209K |
| D0272 |
|
8,971 |
8,829 |
$204K |
| D2391 |
|
2,175 |
1,540 |
$155K |
| D9230 |
|
5,204 |
4,983 |
$130K |
| D0230 |
|
11,869 |
4,719 |
$130K |
| D7140 |
|
1,877 |
1,272 |
$105K |
| D0220 |
|
7,714 |
7,421 |
$92K |
| D0210 |
|
1,231 |
1,215 |
$82K |
| D1351 |
|
3,164 |
850 |
$81K |
| D1110 |
|
1,405 |
1,383 |
$72K |
| D3220 |
|
844 |
485 |
$66K |
| D0274 |
|
1,274 |
1,258 |
$42K |
| D0150 |
|
354 |
345 |
$12K |
| D0140 |
|
563 |
550 |
$10K |
| D2393 |
|
62 |
52 |
$5K |
| D0603 |
|
13,835 |
13,677 |
$0.00 |
| D0602 |
|
4,112 |
4,065 |
$0.00 |