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WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
NPI: 1245589282
· POMONA, CA 91766
· 261QD0000X
$609K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,224 |
$109K |
| 2019 |
7,779 |
$110K |
| 2020 |
4,701 |
$52K |
| 2021 |
5,452 |
$61K |
| 2022 |
6,795 |
$105K |
| 2023 |
6,115 |
$88K |
| 2024 |
6,049 |
$82K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
|
29,185 |
5,403 |
$119K |
| D0120 |
|
2,031 |
2,026 |
$100K |
| D1120 |
|
2,692 |
2,677 |
$100K |
| D1110 |
|
875 |
868 |
$75K |
| D1208 |
|
4,723 |
4,689 |
$58K |
| D0272 |
|
4,919 |
4,880 |
$58K |
| D0150 |
|
852 |
836 |
$52K |
| D2150 |
|
430 |
254 |
$29K |
| D7210 |
|
109 |
78 |
$13K |
| D0350 |
|
210 |
87 |
$2K |
| D2140 |
|
23 |
12 |
$1K |
| D0220 |
|
54 |
54 |
$594.00 |
| D9230 |
|
12 |
12 |
$480.00 |