MEDICAID DENTISTRY OF DAYTONA LLC
NPI: 1326470436
· DAYTONA BEACH, FL 32114
· 122300000X
$2.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
815 |
$24K |
| 2019 |
602 |
$25K |
| 2020 |
13,496 |
$342K |
| 2021 |
6,013 |
$118K |
| 2022 |
35,397 |
$716K |
| 2023 |
29,228 |
$786K |
| 2024 |
20,532 |
$670K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
9,813 |
9,633 |
$526K |
| D1120 |
|
9,288 |
9,132 |
$372K |
| D2392 |
|
2,081 |
1,376 |
$243K |
| D1110 |
|
2,515 |
2,476 |
$228K |
| D9420 |
|
282 |
266 |
$195K |
| D0210 |
|
518 |
517 |
$100K |
| D7140 |
|
2,220 |
1,080 |
$97K |
| D1351 |
|
5,060 |
1,555 |
$93K |
| D9230 |
|
2,354 |
2,195 |
$93K |
| D2391 |
|
1,012 |
723 |
$90K |
| D0272 |
|
6,802 |
6,686 |
$86K |
| D0330 |
|
806 |
796 |
$63K |
| D0140 |
|
1,449 |
1,393 |
$62K |
| D0230 |
|
19,623 |
10,388 |
$61K |
| D9920 |
|
686 |
680 |
$61K |
| D0150 |
|
1,281 |
1,273 |
$60K |
| D0220 |
|
11,745 |
11,368 |
$55K |
| D2930 |
|
979 |
268 |
$50K |
| D1208 |
|
11,530 |
11,335 |
$44K |
| D0274 |
|
2,275 |
2,237 |
$26K |
| D2393 |
|
177 |
138 |
$26K |
| D1330 |
|
11,277 |
11,082 |
$23K |
| D0145 |
|
509 |
508 |
$13K |
| D3120 |
|
551 |
424 |
$5K |
| D3220 |
|
119 |
51 |
$3K |
| D2330 |
|
24 |
14 |
$3K |
| D9999 |
|
57 |
57 |
$2K |
| D0999 |
|
56 |
56 |
$1K |
| D1999 |
|
46 |
46 |
$1K |
| D0240 |
|
228 |
146 |
$983.03 |
| D0602 |
|
222 |
222 |
$361.42 |
| D0270 |
|
59 |
58 |
$9.41 |
| D0603 |
|
114 |
114 |
$5.02 |
| D0601 |
|
325 |
325 |
$0.00 |