NORTHERN MICHIGAN PEDIATRIC DENTISTRY
NPI: 1275685265
· TRAVERSE CITY, MI 49684
· 261QD0000X
$7.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,053 |
$990K |
| 2019 |
18,181 |
$924K |
| 2020 |
15,680 |
$772K |
| 2021 |
22,585 |
$1.10M |
| 2022 |
22,698 |
$1.08M |
| 2023 |
24,292 |
$1.20M |
| 2024 |
19,945 |
$982K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
9,967 |
6,106 |
$1.19M |
| D1120 |
|
22,534 |
22,523 |
$900K |
| D0120 |
|
25,108 |
25,105 |
$808K |
| D2930 |
|
4,208 |
1,740 |
$797K |
| D2391 |
|
7,264 |
4,584 |
$638K |
| D1208 |
|
17,828 |
17,824 |
$465K |
| D7140 |
|
4,381 |
2,539 |
$367K |
| D0272 |
|
11,348 |
11,338 |
$275K |
| D1206 |
|
6,541 |
6,532 |
$177K |
| D1110 |
|
3,337 |
3,336 |
$161K |
| D0140 |
|
2,562 |
2,538 |
$154K |
| D2331 |
|
1,362 |
917 |
$134K |
| D2393 |
|
832 |
697 |
$121K |
| D9420 |
|
843 |
841 |
$120K |
| D2330 |
|
1,405 |
879 |
$108K |
| D1354 |
|
3,142 |
1,513 |
$81K |
| D1351 |
|
2,389 |
960 |
$72K |
| D0330 |
|
1,011 |
1,011 |
$70K |
| D0220 |
|
3,391 |
3,370 |
$62K |
| D9310 |
|
854 |
854 |
$61K |
| D0150 |
|
1,001 |
1,001 |
$58K |
| D2332 |
|
458 |
274 |
$57K |
| D0230 |
|
3,460 |
1,394 |
$46K |
| D0240 |
|
2,633 |
1,695 |
$44K |
| D3220 |
|
335 |
200 |
$42K |
| D2335 |
|
99 |
42 |
$18K |
| D0145 |
|
357 |
357 |
$14K |
| D0274 |
|
149 |
148 |
$6K |
| D9110 |
|
50 |
50 |
$4K |
| D9230 |
|
2,572 |
2,537 |
$0.00 |
| D9995 |
|
13 |
12 |
$0.00 |