SOUTHERN INDIANA PEDIATRIC DENTISTRY, LLC
NPI: 1356634471
· BLOOMINGTON, IN 47401
· Pediatric Dentist
$3.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,300 |
$73K |
| 2019 |
17,041 |
$544K |
| 2020 |
16,139 |
$513K |
| 2021 |
21,229 |
$688K |
| 2022 |
20,532 |
$668K |
| 2023 |
18,503 |
$585K |
| 2024 |
16,089 |
$661K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
5,659 |
2,557 |
$694K |
| D1120 |
|
20,779 |
19,558 |
$628K |
| D1206 |
|
22,859 |
21,520 |
$436K |
| D0120 |
|
20,650 |
19,488 |
$412K |
| D1351 |
|
12,909 |
2,146 |
$313K |
| D0272 |
|
9,886 |
9,252 |
$207K |
| D7140 |
|
2,922 |
1,541 |
$205K |
| D0330 |
|
2,403 |
2,264 |
$132K |
| D9230 |
|
4,920 |
4,512 |
$130K |
| D2392 |
|
1,934 |
1,182 |
$122K |
| D2391 |
|
2,740 |
1,578 |
$121K |
| D1110 |
|
2,477 |
2,340 |
$96K |
| D0140 |
|
2,449 |
2,292 |
$77K |
| D0150 |
|
2,520 |
2,333 |
$70K |
| D0220 |
|
3,828 |
3,511 |
$36K |
| D0230 |
|
3,130 |
1,433 |
$24K |
| D0274 |
|
660 |
615 |
$17K |
| D1354 |
|
94 |
37 |
$9K |
| D1510 |
|
14 |
12 |
$2K |