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PENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
PENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
NPI: 1285854836
· BANGOR, ME 04401
· 1223P0221X
$413K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,349 |
$119K |
| 2019 |
4,148 |
$114K |
| 2020 |
3,752 |
$86K |
| 2021 |
3,696 |
$83K |
| 2022 |
535 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,563 |
988 |
$115K |
| D0120 |
|
3,057 |
2,939 |
$81K |
| D1120 |
|
2,876 |
2,767 |
$76K |
| D9230 |
|
1,897 |
1,776 |
$35K |
| D1208 |
|
2,984 |
2,864 |
$33K |
| D0272 |
|
1,723 |
1,665 |
$23K |
| D2930 |
|
68 |
50 |
$8K |
| D1351 |
|
521 |
142 |
$7K |
| D0220 |
|
944 |
918 |
$7K |
| D1110 |
|
204 |
193 |
$6K |
| D0150 |
|
123 |
119 |
$6K |
| D7140 |
|
87 |
72 |
$6K |
| D1206 |
|
309 |
297 |
$3K |
| D2391 |
|
55 |
43 |
$3K |
| D3220 |
|
53 |
39 |
$2K |
| D0230 |
|
16 |
13 |
$104.00 |