TIDEWATER DENTAL CENTER, PLLC
NPI: 1275789950
· NORFOLK, VA 23517
· 1223G0001X
$273K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
846 |
$15K |
| 2019 |
3,045 |
$49K |
| 2020 |
3,423 |
$36K |
| 2021 |
2,186 |
$39K |
| 2022 |
1,785 |
$57K |
| 2023 |
3,815 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,128 |
1,088 |
$45K |
| D0140 |
|
2,559 |
1,959 |
$41K |
| D0150 |
|
2,082 |
1,402 |
$40K |
| D0120 |
|
1,126 |
1,089 |
$19K |
| D0274 |
|
815 |
796 |
$19K |
| D0210 |
|
733 |
571 |
$17K |
| D0230 |
|
2,413 |
487 |
$15K |
| D0220 |
|
2,034 |
1,330 |
$14K |
| D7210 |
|
80 |
12 |
$13K |
| D2392 |
|
115 |
76 |
$12K |
| D4910 |
|
197 |
195 |
$10K |
| D7880 |
|
14 |
13 |
$7K |
| D0330 |
|
244 |
193 |
$6K |
| D1354 |
|
486 |
210 |
$4K |
| D9994 |
|
653 |
636 |
$4K |
| D9920 |
|
91 |
88 |
$4K |
| D1208 |
|
54 |
54 |
$792.64 |
| D1120 |
|
13 |
13 |
$402.24 |
| D1206 |
|
14 |
14 |
$258.00 |
| D9630 |
|
160 |
157 |
$0.00 |
| D9995 |
|
89 |
73 |
$0.00 |