PEDIATRIC DENTISTRY OF THE NORTH SHORE,LLC
NPI: 1285016261
· DANVERS, MA 01923
· 1223P0221X
$1.46M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,847 |
$89K |
| 2019 |
10,753 |
$359K |
| 2020 |
6,901 |
$208K |
| 2021 |
7,267 |
$237K |
| 2022 |
7,454 |
$240K |
| 2023 |
5,658 |
$188K |
| 2024 |
4,318 |
$141K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
10,084 |
9,540 |
$462K |
| D0120 |
|
11,882 |
11,218 |
$308K |
| D1206 |
|
11,996 |
11,337 |
$283K |
| D1110 |
|
1,704 |
1,587 |
$99K |
| D0272 |
|
2,557 |
2,433 |
$70K |
| D1351 |
|
1,329 |
329 |
$49K |
| D0274 |
|
1,036 |
959 |
$39K |
| D9230 |
|
1,766 |
1,568 |
$33K |
| D7140 |
|
296 |
161 |
$25K |
| D2150 |
|
255 |
162 |
$21K |
| D2391 |
|
243 |
172 |
$17K |
| D0220 |
|
967 |
904 |
$17K |
| D0150 |
|
257 |
247 |
$14K |
| D2392 |
|
112 |
68 |
$11K |
| D0330 |
|
97 |
94 |
$8K |
| D0230 |
|
511 |
323 |
$7K |
| D1999 |
|
106 |
92 |
$0.00 |