SOUTH VALLEY PEDIATRIC DENTISTRY
NPI: 1336465830
· SPRINGVILLE, UT 84663
· 1223P0221X
$894K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
913 |
$23K |
| 2019 |
6,031 |
$205K |
| 2020 |
5,314 |
$187K |
| 2021 |
6,166 |
$226K |
| 2022 |
6,471 |
$225K |
| 2023 |
736 |
$17K |
| 2024 |
425 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,823 |
3,810 |
$243K |
| D0120 |
|
3,327 |
3,312 |
$156K |
| D2150 |
|
1,629 |
746 |
$119K |
| D1351 |
|
2,401 |
572 |
$85K |
| D0272 |
|
3,506 |
3,482 |
$47K |
| D0230 |
|
2,378 |
2,228 |
$43K |
| D1206 |
|
3,985 |
3,966 |
$41K |
| D2140 |
|
547 |
293 |
$38K |
| D0150 |
|
529 |
525 |
$31K |
| D0220 |
|
2,860 |
2,806 |
$23K |
| D2930 |
|
147 |
42 |
$21K |
| D7140 |
|
174 |
93 |
$18K |
| D0330 |
|
537 |
535 |
$13K |
| D0140 |
|
143 |
140 |
$6K |
| D3220 |
|
25 |
14 |
$5K |
| D2392 |
|
45 |
18 |
$5K |