PREFERRED DENTISTRY ASSOCIATES, LLC
NPI: 1215302625
· EVANSTON, IL 60202
· 1223G0001X
$287K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,673 |
$58K |
| 2019 |
4,163 |
$83K |
| 2020 |
1,526 |
$26K |
| 2021 |
4,458 |
$60K |
| 2022 |
1,592 |
$31K |
| 2023 |
1,691 |
$20K |
| 2024 |
675 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
3,703 |
3,216 |
$97K |
| D4346 |
|
711 |
686 |
$46K |
| D0191 |
|
3,002 |
2,786 |
$27K |
| D1206 |
|
2,232 |
2,071 |
$27K |
| D1110 |
|
1,029 |
911 |
$25K |
| D0150 |
|
1,093 |
1,010 |
$18K |
| D0120 |
|
993 |
846 |
$11K |
| D1354 |
|
1,672 |
468 |
$9K |
| D4355 |
|
140 |
132 |
$8K |
| D0230 |
|
1,045 |
506 |
$5K |
| D0220 |
|
641 |
609 |
$4K |
| D0140 |
|
256 |
230 |
$4K |
| D0274 |
|
246 |
232 |
$4K |
| D0210 |
|
15 |
12 |
$364.80 |