BEECH LAKE PEDIATRIC DENTISTRY, PLC
NPI: 1275893406
· LEXINGTON, TN 38351
· Pediatric Dentist
· NPI assigned 05/22/2012
$3.24M
Total Medicaid Paid
Provider Details
| Authorized Official | BURKE, TOMMY (OWNER/DENTIST) |
| NPI Enumeration Date | 05/22/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,731 |
$329K |
| 2019 |
17,476 |
$477K |
| 2020 |
13,821 |
$420K |
| 2021 |
17,996 |
$528K |
| 2022 |
16,727 |
$526K |
| 2023 |
16,845 |
$507K |
| 2024 |
16,358 |
$448K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
16,364 |
14,823 |
$502K |
| D0120 |
|
20,981 |
19,089 |
$469K |
| D2930 |
|
4,319 |
2,674 |
$425K |
| D1206 |
|
22,260 |
20,279 |
$422K |
| D9248 |
|
4,095 |
3,366 |
$286K |
| D0272 |
|
15,719 |
14,223 |
$186K |
| D1110 |
|
4,628 |
4,257 |
$186K |
| D3220 |
|
2,078 |
1,533 |
$152K |
| D0210 |
|
2,853 |
2,615 |
$145K |
| D9230 |
|
3,848 |
3,241 |
$101K |
| D1351 |
|
3,380 |
1,379 |
$88K |
| D0150 |
|
2,649 |
2,402 |
$67K |
| D7140 |
|
854 |
563 |
$38K |
| D2391 |
|
658 |
536 |
$37K |
| D2392 |
|
448 |
385 |
$31K |
| D0140 |
|
1,380 |
1,258 |
$30K |
| D2140 |
|
450 |
379 |
$26K |
| D0220 |
|
2,085 |
1,862 |
$23K |
| D1208 |
|
864 |
792 |
$14K |
| D1354 |
|
956 |
430 |
$8K |
| D2150 |
|
17 |
13 |
$1K |
| D0230 |
|
41 |
32 |
$341.65 |
| D0270 |
|
13 |
12 |
$94.56 |
| D9430 |
|
14 |
12 |
$0.00 |