4TH STREET DENTAL, PLLC
NPI: 1306347711
· LUBBOCK, TX 79416
· 1223G0001X
$2.65M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
165 |
$4K |
| 2020 |
3,131 |
$71K |
| 2021 |
27,965 |
$794K |
| 2022 |
30,672 |
$858K |
| 2023 |
20,507 |
$481K |
| 2024 |
16,440 |
$438K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
3,193 |
3,125 |
$425K |
| D2392 |
|
3,814 |
1,214 |
$341K |
| D1351 |
|
12,003 |
1,586 |
$286K |
| D1120 |
|
6,645 |
6,377 |
$220K |
| D2930 |
|
1,542 |
338 |
$201K |
| D0120 |
|
7,594 |
7,264 |
$200K |
| D0230 |
|
15,940 |
7,877 |
$160K |
| D1110 |
|
2,716 |
2,566 |
$130K |
| D1208 |
|
9,494 |
9,050 |
$125K |
| D0220 |
|
9,068 |
8,454 |
$96K |
| D2391 |
|
1,134 |
506 |
$82K |
| D0274 |
|
2,753 |
2,604 |
$80K |
| D0272 |
|
4,285 |
4,104 |
$76K |
| D0150 |
|
2,239 |
2,078 |
$67K |
| D0330 |
|
1,493 |
1,397 |
$39K |
| D9248 |
|
316 |
294 |
$32K |
| D7240 |
|
114 |
38 |
$30K |
| D0210 |
|
467 |
456 |
$26K |
| D3220 |
|
90 |
38 |
$7K |
| D2335 |
|
50 |
15 |
$6K |
| D9230 |
|
193 |
185 |
$5K |
| D0140 |
|
289 |
275 |
$5K |
| D9222 |
|
60 |
55 |
$3K |
| D9223 |
|
61 |
40 |
$2K |
| D4341 |
|
165 |
25 |
$1K |
| D9610 |
|
28 |
26 |
$358.38 |
| D9310 |
|
12 |
12 |
$192.48 |
| D0160 |
|
12 |
12 |
$176.42 |
| D4355 |
|
13 |
12 |
$71.66 |
| D0603 |
|
13,097 |
12,853 |
$0.00 |