UPPER VALLEY PEDIATRIC DENTISTRY, PC
NPI: 1225429335
· WEST LEBANON, NH 03784
· 305R00000X
$1.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,031 |
$217K |
| 2019 |
5,370 |
$205K |
| 2020 |
4,471 |
$145K |
| 2021 |
5,105 |
$154K |
| 2022 |
3,035 |
$89K |
| 2023 |
4,823 |
$186K |
| 2024 |
3,296 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,364 |
5,997 |
$229K |
| D0120 |
|
6,193 |
5,850 |
$170K |
| D2392 |
|
1,335 |
780 |
$157K |
| D1206 |
|
7,019 |
6,607 |
$133K |
| D1351 |
|
3,591 |
855 |
$103K |
| D9230 |
|
1,695 |
1,484 |
$84K |
| D0274 |
|
2,126 |
2,001 |
$70K |
| D2391 |
|
608 |
343 |
$52K |
| D0150 |
|
773 |
688 |
$32K |
| D1110 |
|
580 |
547 |
$30K |
| D2930 |
|
156 |
52 |
$27K |
| D7140 |
|
217 |
112 |
$20K |
| D0272 |
|
608 |
572 |
$14K |
| D0140 |
|
313 |
295 |
$13K |
| D0330 |
|
144 |
139 |
$10K |
| D0240 |
|
255 |
118 |
$4K |
| D1354 |
|
68 |
26 |
$1K |
| D9420 |
|
13 |
12 |
$1K |
| D0220 |
|
73 |
67 |
$1K |