PURE DENTAL AND IMPLANT CENTER, PLLC
NPI: 1205382652
· GARLAND, TX 75040
· 122300000X
$653K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,536 |
$51K |
| 2019 |
949 |
$32K |
| 2020 |
4,466 |
$197K |
| 2021 |
9,577 |
$374K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,332 |
785 |
$229K |
| D2391 |
|
1,615 |
647 |
$124K |
| D1351 |
|
1,692 |
368 |
$45K |
| D0150 |
|
1,223 |
1,212 |
$42K |
| D0230 |
|
2,868 |
1,255 |
$32K |
| D1120 |
|
880 |
869 |
$31K |
| D2930 |
|
143 |
69 |
$19K |
| D0274 |
|
546 |
538 |
$18K |
| D1208 |
|
1,237 |
1,222 |
$18K |
| D0145 |
|
119 |
119 |
$17K |
| D2393 |
|
167 |
120 |
$16K |
| D0220 |
|
1,275 |
1,261 |
$16K |
| D1110 |
|
288 |
286 |
$16K |
| D9230 |
|
315 |
312 |
$8K |
| D2332 |
|
42 |
25 |
$6K |
| D3220 |
|
70 |
37 |
$5K |
| D2330 |
|
65 |
45 |
$5K |
| D0272 |
|
208 |
208 |
$5K |
| D7111 |
|
37 |
26 |
$378.51 |
| D0602 |
|
101 |
101 |
$0.00 |
| D0603 |
|
1,305 |
1,280 |
$0.00 |