JACKSON PEDIATRIC DENTISTRY PC
NPI: 1255870051
· JACKSON, MI 49203
· 1223P0221X
$8.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,004 |
$199K |
| 2020 |
22,329 |
$1.35M |
| 2021 |
31,776 |
$1.64M |
| 2022 |
33,010 |
$1.52M |
| 2023 |
37,826 |
$1.84M |
| 2024 |
32,427 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
6,057 |
2,630 |
$1.14M |
| D1120 |
|
25,378 |
25,368 |
$1.02M |
| D2392 |
|
8,455 |
4,133 |
$1.00M |
| D0120 |
|
27,246 |
27,233 |
$884K |
| D1206 |
|
28,301 |
28,282 |
$747K |
| D7140 |
|
5,309 |
2,704 |
$457K |
| D2391 |
|
4,780 |
3,031 |
$432K |
| D3220 |
|
3,050 |
1,659 |
$385K |
| D0272 |
|
13,705 |
13,686 |
$312K |
| D1351 |
|
9,900 |
2,858 |
$288K |
| D1110 |
|
3,610 |
3,610 |
$175K |
| D2332 |
|
1,246 |
789 |
$148K |
| D0150 |
|
2,570 |
2,570 |
$141K |
| D2393 |
|
930 |
675 |
$133K |
| D2330 |
|
1,424 |
928 |
$110K |
| D9248 |
|
1,641 |
1,637 |
$107K |
| D0330 |
|
1,548 |
1,548 |
$98K |
| D0140 |
|
1,558 |
1,539 |
$91K |
| D0240 |
|
4,095 |
2,784 |
$81K |
| D0210 |
|
1,092 |
1,054 |
$78K |
| D1510 |
|
394 |
325 |
$76K |
| D0220 |
|
3,204 |
3,165 |
$56K |
| D2934 |
|
220 |
77 |
$45K |
| D0230 |
|
2,598 |
1,277 |
$33K |
| D0145 |
|
652 |
652 |
$26K |
| D2331 |
|
119 |
88 |
$12K |
| D1208 |
|
151 |
151 |
$4K |
| D9986 |
|
1,139 |
1,126 |
$0.00 |