EDMOND PEDIATRIC AND TEEN DENTISTRY
NPI: 1235419409
· EDMOND, OK 73013
· 1223P0221X
$2.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26,404 |
$868K |
| 2019 |
22,539 |
$763K |
| 2020 |
14,062 |
$525K |
| 2021 |
12,271 |
$491K |
| 2022 |
4,059 |
$82K |
| 2023 |
1,741 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
8,102 |
1,393 |
$903K |
| D1120 |
|
13,870 |
13,870 |
$339K |
| D0120 |
|
16,020 |
16,020 |
$272K |
| D2932 |
|
1,329 |
338 |
$177K |
| D1206 |
|
14,396 |
14,392 |
$176K |
| D7140 |
|
2,771 |
951 |
$169K |
| D0272 |
|
7,727 |
7,727 |
$115K |
| D3220 |
|
1,061 |
574 |
$90K |
| D1110 |
|
2,320 |
2,320 |
$87K |
| D0330 |
|
1,710 |
1,710 |
$72K |
| D2392 |
|
881 |
382 |
$72K |
| D2390 |
|
331 |
82 |
$66K |
| D0140 |
|
1,987 |
1,971 |
$56K |
| D0240 |
|
3,074 |
1,675 |
$51K |
| D1208 |
|
1,724 |
1,724 |
$24K |
| D9230 |
|
765 |
714 |
$18K |
| D0220 |
|
1,323 |
1,305 |
$18K |
| D2330 |
|
209 |
94 |
$12K |
| D9310 |
|
279 |
278 |
$12K |
| D3120 |
|
306 |
192 |
$9K |
| D1351 |
|
376 |
111 |
$8K |
| D3240 |
|
71 |
57 |
$8K |
| D0150 |
|
235 |
235 |
$6K |
| D0274 |
|
101 |
101 |
$3K |
| D2391 |
|
33 |
16 |
$2K |
| D0230 |
|
75 |
49 |
$548.64 |