PEDIATRIC DENTISTRY LLC
NPI: 1265848774
· CHEYENNE, WY 82009
· 1223P0221X
$4.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34,685 |
$1.08M |
| 2019 |
16,604 |
$566K |
| 2020 |
11,468 |
$346K |
| 2021 |
18,150 |
$474K |
| 2022 |
15,335 |
$448K |
| 2023 |
16,797 |
$580K |
| 2024 |
16,327 |
$608K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
20,345 |
19,795 |
$673K |
| D0120 |
|
20,667 |
20,106 |
$650K |
| D1120 |
|
17,180 |
16,744 |
$582K |
| D1110 |
|
7,238 |
6,966 |
$353K |
| D1351 |
|
9,145 |
2,525 |
$255K |
| D2930 |
|
1,765 |
496 |
$224K |
| D2391 |
|
2,878 |
1,750 |
$206K |
| D0230 |
|
14,290 |
12,763 |
$205K |
| D0220 |
|
14,383 |
13,891 |
$201K |
| D2392 |
|
2,123 |
1,325 |
$192K |
| D0272 |
|
7,537 |
7,319 |
$166K |
| D0150 |
|
3,588 |
3,520 |
$108K |
| D0274 |
|
2,891 |
2,820 |
$95K |
| D0330 |
|
1,317 |
1,293 |
$69K |
| D7140 |
|
712 |
388 |
$46K |
| D9230 |
|
1,491 |
1,405 |
$37K |
| D9420 |
|
140 |
140 |
$17K |
| D0140 |
|
401 |
398 |
$12K |
| D1310 |
|
898 |
898 |
$9K |
| D1999 |
|
377 |
352 |
$4K |