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SOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
SOUTH CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
NPI: 1275996191
· TUKWILA, WA 98188
· 1223P0221X
$6.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,908 |
$427K |
| 2019 |
37,811 |
$743K |
| 2020 |
37,914 |
$685K |
| 2021 |
33,000 |
$669K |
| 2022 |
43,029 |
$1.01M |
| 2023 |
40,135 |
$1.50M |
| 2024 |
43,519 |
$1.81M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
8,326 |
2,151 |
$1.33M |
| D2392 |
|
9,270 |
4,732 |
$638K |
| D0120 |
|
22,083 |
21,796 |
$579K |
| D1120 |
|
24,175 |
23,863 |
$558K |
| D1208 |
|
25,746 |
25,401 |
$493K |
| D3220 |
|
4,188 |
1,309 |
$430K |
| D2391 |
|
6,501 |
3,500 |
$367K |
| D9630 |
|
7,802 |
7,684 |
$344K |
| D2390 |
|
1,203 |
349 |
$339K |
| D7140 |
|
4,361 |
2,180 |
$244K |
| D0220 |
|
25,554 |
24,880 |
$206K |
| D0150 |
|
4,792 |
4,690 |
$184K |
| D9999 |
|
5,664 |
5,572 |
$168K |
| D9230 |
|
7,612 |
7,111 |
$163K |
| D0272 |
|
16,556 |
16,279 |
$162K |
| D0230 |
|
66,354 |
23,731 |
$154K |
| D0330 |
|
4,471 |
4,365 |
$149K |
| D1351 |
|
5,683 |
1,721 |
$120K |
| D1110 |
|
1,934 |
1,885 |
$76K |
| D0140 |
|
2,918 |
2,836 |
$61K |
| D1999 |
|
2,840 |
2,609 |
$38K |
| D3230 |
|
254 |
90 |
$17K |
| D2393 |
|
191 |
153 |
$13K |
| D7111 |
|
172 |
122 |
$5K |
| D0274 |
|
434 |
418 |
$5K |
| D2330 |
|
19 |
13 |
$1K |
| D9920 |
|
40 |
38 |
$898.32 |
| D1206 |
|
31 |
30 |
$458.46 |
| D1354 |
|
114 |
52 |
$342.00 |
| D9996 |
|
28 |
28 |
$289.00 |