LEBANON PEDIATRIC DENTISTRY, LLC
NPI: 1285279836
· LEBANON, TN 37090
· 1223P0221X
$3.96M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,518 |
$82K |
| 2021 |
13,900 |
$504K |
| 2022 |
17,392 |
$655K |
| 2023 |
26,448 |
$1.27M |
| 2024 |
29,864 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
8,184 |
1,784 |
$874K |
| D1120 |
|
12,491 |
11,930 |
$402K |
| D3220 |
|
4,549 |
966 |
$361K |
| D0120 |
|
12,167 |
11,620 |
$285K |
| D2392 |
|
3,581 |
1,797 |
$253K |
| D2933 |
|
1,597 |
358 |
$231K |
| D1208 |
|
11,291 |
10,768 |
$229K |
| D2391 |
|
2,875 |
1,602 |
$172K |
| D9248 |
|
1,605 |
1,485 |
$118K |
| D7140 |
|
1,710 |
811 |
$102K |
| D0330 |
|
2,756 |
2,612 |
$102K |
| D1110 |
|
2,415 |
2,297 |
$99K |
| D9230 |
|
3,807 |
3,551 |
$97K |
| D0272 |
|
6,038 |
5,752 |
$96K |
| D7240 |
|
383 |
112 |
$93K |
| D0150 |
|
3,218 |
3,078 |
$89K |
| D1351 |
|
2,403 |
833 |
$72K |
| D1206 |
|
3,227 |
3,089 |
$64K |
| D9223 |
|
681 |
400 |
$53K |
| D9222 |
|
473 |
444 |
$39K |
| D2393 |
|
350 |
206 |
$29K |
| D2332 |
|
209 |
103 |
$17K |
| D0140 |
|
746 |
705 |
$16K |
| D7230 |
|
73 |
30 |
$16K |
| D0220 |
|
1,340 |
1,263 |
$15K |
| D9610 |
|
483 |
454 |
$11K |
| D0274 |
|
380 |
354 |
$9K |
| D7210 |
|
53 |
16 |
$7K |
| D1510 |
|
50 |
39 |
$6K |
| D9420 |
|
970 |
910 |
$240.00 |
| D1999 |
|
17 |
16 |
$0.00 |