UPSTATE PEDIATRIC DENTISTRY, PA
NPI: 1275780454
· GREENVILLE, SC 29607
· 1223P0221X
$5.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,952 |
$750K |
| 2019 |
25,893 |
$832K |
| 2020 |
21,264 |
$642K |
| 2021 |
27,175 |
$863K |
| 2022 |
26,223 |
$779K |
| 2023 |
23,739 |
$654K |
| 2024 |
23,928 |
$790K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
33,503 |
33,502 |
$1.18M |
| D0120 |
|
35,957 |
35,956 |
$848K |
| D1206 |
|
38,766 |
38,765 |
$638K |
| D2930 |
|
3,163 |
1,237 |
$406K |
| D1110 |
|
6,781 |
6,781 |
$343K |
| D0272 |
|
15,494 |
15,494 |
$296K |
| D2392 |
|
2,816 |
1,961 |
$294K |
| D2391 |
|
2,891 |
1,999 |
$243K |
| D9230 |
|
7,091 |
6,891 |
$231K |
| D0330 |
|
3,147 |
3,147 |
$159K |
| D1351 |
|
4,293 |
1,153 |
$131K |
| D0140 |
|
3,250 |
3,195 |
$126K |
| D7140 |
|
1,367 |
870 |
$125K |
| D0145 |
|
2,001 |
2,001 |
$89K |
| D0150 |
|
1,632 |
1,632 |
$67K |
| D0220 |
|
4,446 |
4,404 |
$57K |
| D0230 |
|
3,208 |
1,346 |
$30K |
| D0240 |
|
941 |
729 |
$17K |
| D3220 |
|
190 |
100 |
$16K |
| D9420 |
|
104 |
104 |
$9K |
| D9248 |
|
65 |
65 |
$4K |
| D2330 |
|
47 |
28 |
$3K |
| D2332 |
|
21 |
14 |
$2K |