DAYTON CHILDRENS DENTAL CENTER, LLC
NPI: 1215336912
· DAYTON, OH 45417
· 122300000X
$890K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
34,755 |
$609K |
| 2019 |
11,818 |
$281K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2150 |
|
3,766 |
1,679 |
$158K |
| D1120 |
|
6,691 |
5,351 |
$105K |
| D0120 |
|
6,558 |
5,406 |
$91K |
| D2930 |
|
827 |
221 |
$80K |
| D2140 |
|
2,438 |
1,252 |
$76K |
| D1208 |
|
5,774 |
4,291 |
$62K |
| D0330 |
|
1,619 |
1,339 |
$60K |
| D1351 |
|
3,628 |
591 |
$45K |
| D1110 |
|
1,464 |
1,200 |
$40K |
| D1206 |
|
2,114 |
2,029 |
$30K |
| D7140 |
|
595 |
345 |
$28K |
| D0272 |
|
3,759 |
2,914 |
$27K |
| D0274 |
|
1,917 |
1,461 |
$24K |
| D0150 |
|
1,222 |
867 |
$22K |
| D2160 |
|
313 |
199 |
$17K |
| D0240 |
|
1,048 |
368 |
$8K |
| D0220 |
|
1,527 |
1,143 |
$6K |
| D0140 |
|
322 |
240 |
$5K |
| D0230 |
|
908 |
510 |
$4K |
| D3220 |
|
44 |
24 |
$3K |
| D2391 |
|
39 |
13 |
$2K |