DENTAL CENTER OF PLYMOUTH LLC
NPI: 1336516517
· PLYMOUTH, IN 46563
· 122300000X
$3.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,585 |
$27K |
| 2019 |
11,952 |
$374K |
| 2020 |
8,233 |
$253K |
| 2021 |
16,999 |
$604K |
| 2022 |
16,824 |
$544K |
| 2023 |
17,523 |
$559K |
| 2024 |
16,678 |
$686K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,665 |
1,595 |
$398K |
| D1120 |
|
11,804 |
11,281 |
$358K |
| D1206 |
|
16,391 |
15,666 |
$319K |
| D0120 |
|
14,172 |
13,564 |
$289K |
| D1351 |
|
10,875 |
2,362 |
$262K |
| D0272 |
|
12,896 |
12,322 |
$261K |
| D1110 |
|
5,208 |
4,979 |
$225K |
| D9230 |
|
7,205 |
6,551 |
$196K |
| D2392 |
|
2,532 |
1,872 |
$145K |
| D2391 |
|
2,939 |
2,165 |
$143K |
| D0210 |
|
3,165 |
2,943 |
$124K |
| D0150 |
|
3,172 |
3,006 |
$98K |
| D7140 |
|
1,028 |
688 |
$80K |
| D0330 |
|
1,961 |
1,793 |
$54K |
| D0140 |
|
1,374 |
1,286 |
$46K |
| D2931 |
|
156 |
133 |
$29K |
| D1354 |
|
106 |
25 |
$8K |
| D0240 |
|
566 |
504 |
$8K |
| D0220 |
|
366 |
324 |
$3K |
| D1208 |
|
47 |
38 |
$738.87 |
| D0230 |
|
22 |
13 |
$180.00 |
| D1999 |
|
73 |
70 |
$0.00 |
| D3120 |
|
71 |
51 |
$0.00 |