GAINES PEDIATRIC DENTISTRY PLLC
NPI: 1306213814
· GRAND RAPIDS, MI 49508
· 1223P0221X
$1.86M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
11,919 |
$502K |
| 2021 |
9,721 |
$313K |
| 2022 |
9,889 |
$368K |
| 2023 |
10,143 |
$369K |
| 2024 |
9,184 |
$310K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
10,427 |
9,709 |
$407K |
| D0120 |
|
10,256 |
9,560 |
$324K |
| D1206 |
|
10,903 |
10,164 |
$284K |
| D2930 |
|
1,294 |
360 |
$233K |
| D1351 |
|
7,033 |
1,229 |
$210K |
| D2392 |
|
939 |
608 |
$102K |
| D0272 |
|
4,323 |
4,031 |
$99K |
| D2391 |
|
882 |
493 |
$74K |
| D0330 |
|
834 |
800 |
$59K |
| D0140 |
|
284 |
243 |
$16K |
| D0240 |
|
765 |
373 |
$14K |
| D0220 |
|
835 |
778 |
$14K |
| D1110 |
|
211 |
211 |
$10K |
| D0274 |
|
227 |
227 |
$8K |
| D7140 |
|
46 |
27 |
$3K |
| D9420 |
|
16 |
16 |
$2K |
| D0145 |
|
27 |
27 |
$1K |
| D1354 |
|
29 |
12 |
$791.06 |
| D0150 |
|
13 |
13 |
$715.00 |
| D9230 |
|
1,512 |
1,363 |
$0.00 |