PEDIATRIC DENTISTRY, PA
NPI: 1306999115
· GREER, SC 29650
· 1223P0221X
$6.74M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30,253 |
$1.01M |
| 2019 |
31,661 |
$1.03M |
| 2020 |
27,783 |
$860K |
| 2021 |
31,791 |
$991K |
| 2022 |
31,606 |
$979K |
| 2023 |
29,134 |
$864K |
| 2024 |
28,088 |
$1.00M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
30,809 |
30,809 |
$1.08M |
| D0120 |
|
39,528 |
39,528 |
$924K |
| D1208 |
|
43,226 |
43,226 |
$707K |
| D2930 |
|
5,404 |
3,587 |
$683K |
| D1110 |
|
12,485 |
12,485 |
$628K |
| D2391 |
|
4,824 |
3,035 |
$387K |
| D0272 |
|
18,784 |
18,784 |
$357K |
| D0330 |
|
6,289 |
6,289 |
$319K |
| D0240 |
|
15,833 |
15,757 |
$313K |
| D9230 |
|
9,530 |
9,164 |
$303K |
| D0274 |
|
10,585 |
10,585 |
$294K |
| D2392 |
|
2,760 |
2,031 |
$279K |
| D7140 |
|
1,395 |
1,066 |
$134K |
| D0150 |
|
2,178 |
2,178 |
$89K |
| D0145 |
|
1,844 |
1,844 |
$83K |
| D0140 |
|
1,567 |
1,567 |
$60K |
| D3220 |
|
697 |
502 |
$55K |
| D1351 |
|
824 |
211 |
$26K |
| D0220 |
|
1,698 |
1,694 |
$22K |
| D2934 |
|
28 |
12 |
$4K |
| D0230 |
|
28 |
26 |
$282.16 |