EAST SOONER DENTAL PARTNERS PLLC
NPI: 1326558628
· MIDWEST CITY, OK 73110
· 1223G0001X
$1.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
214 |
$4K |
| 2019 |
104 |
$2K |
| 2020 |
425 |
$13K |
| 2021 |
4,182 |
$153K |
| 2022 |
9,926 |
$465K |
| 2023 |
9,362 |
$428K |
| 2024 |
5,774 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
4,612 |
1,387 |
$578K |
| D2393 |
|
737 |
275 |
$118K |
| D0140 |
|
3,896 |
3,730 |
$114K |
| D0274 |
|
2,317 |
2,301 |
$71K |
| D0220 |
|
4,679 |
4,476 |
$71K |
| D0230 |
|
8,339 |
3,398 |
$65K |
| D0150 |
|
1,951 |
1,922 |
$58K |
| D2392 |
|
532 |
253 |
$56K |
| D1354 |
|
499 |
38 |
$38K |
| D1110 |
|
767 |
739 |
$36K |
| D2394 |
|
91 |
38 |
$16K |
| D1206 |
|
611 |
582 |
$11K |
| D1320 |
|
302 |
254 |
$11K |
| D5226 |
|
15 |
15 |
$10K |
| D5225 |
|
13 |
13 |
$8K |
| D2391 |
|
71 |
29 |
$4K |
| D1120 |
|
130 |
130 |
$4K |
| D1208 |
|
241 |
241 |
$4K |
| D0120 |
|
140 |
131 |
$3K |
| D0210 |
|
28 |
26 |
$2K |
| D0603 |
|
16 |
14 |
$146.40 |