PEDIATRIC DENTAL SPECILAIST, P.C
NPI: 1255063244
· PORT HURON, MI 48060
· 1223P0221X
$994K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,122 |
$147K |
| 2023 |
9,503 |
$430K |
| 2024 |
8,492 |
$417K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,537 |
895 |
$185K |
| D1120 |
|
3,597 |
3,597 |
$155K |
| D0120 |
|
3,726 |
3,725 |
$126K |
| D1206 |
|
3,823 |
3,823 |
$109K |
| D2391 |
|
1,081 |
566 |
$94K |
| D2393 |
|
413 |
317 |
$61K |
| D1351 |
|
1,642 |
381 |
$54K |
| D1110 |
|
590 |
590 |
$31K |
| D0210 |
|
357 |
357 |
$31K |
| D0272 |
|
1,182 |
1,182 |
$30K |
| D2930 |
|
143 |
66 |
$29K |
| D0220 |
|
950 |
944 |
$17K |
| D0150 |
|
252 |
252 |
$16K |
| D7140 |
|
168 |
99 |
$15K |
| D0230 |
|
807 |
460 |
$11K |
| D0140 |
|
164 |
162 |
$10K |
| D1354 |
|
225 |
65 |
$6K |
| D1208 |
|
191 |
191 |
$5K |
| D3220 |
|
29 |
13 |
$4K |
| D0274 |
|
78 |
78 |
$3K |
| D0145 |
|
24 |
24 |
$1K |
| D9986 |
|
138 |
137 |
$0.00 |