LEESBURG PREMIER DENTAL
NPI: 1346644838
· LEESBURG, VA 20176
· 1223G0001X
$721K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,224 |
$81K |
| 2019 |
2,886 |
$106K |
| 2020 |
2,942 |
$109K |
| 2021 |
3,672 |
$134K |
| 2022 |
4,171 |
$194K |
| 2023 |
4,712 |
$96K |
| 2024 |
2,560 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,717 |
1,163 |
$194K |
| D1120 |
|
3,587 |
3,537 |
$102K |
| D2393 |
|
1,065 |
611 |
$95K |
| D1206 |
|
4,966 |
4,898 |
$86K |
| D0120 |
|
4,187 |
4,139 |
$70K |
| D1110 |
|
1,356 |
1,331 |
$52K |
| D0274 |
|
1,954 |
1,925 |
$44K |
| D9230 |
|
1,058 |
777 |
$25K |
| D0150 |
|
673 |
643 |
$19K |
| D9920 |
|
167 |
153 |
$11K |
| D3120 |
|
502 |
271 |
$8K |
| D0330 |
|
221 |
219 |
$7K |
| D0220 |
|
472 |
434 |
$4K |
| D7140 |
|
36 |
26 |
$1K |
| D1351 |
|
124 |
45 |
$1K |
| D0210 |
|
16 |
13 |
$737.19 |
| D0230 |
|
40 |
25 |
$276.07 |
| D0140 |
|
26 |
26 |
$0.00 |