SOUTHWEST PEDIATRIC DENTAL ASSOCIATES, PLLC
NPI: 1366568438
· OKLAHOMA CITY, OK 73139
· 1223P0221X
$1.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,486 |
$140K |
| 2019 |
4,783 |
$122K |
| 2020 |
4,550 |
$128K |
| 2021 |
6,683 |
$220K |
| 2022 |
6,761 |
$210K |
| 2023 |
10,401 |
$482K |
| 2024 |
8,783 |
$343K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,309 |
794 |
$267K |
| D1120 |
|
6,391 |
6,254 |
$183K |
| D0120 |
|
7,647 |
7,494 |
$152K |
| D2392 |
|
1,457 |
812 |
$147K |
| D2391 |
|
2,177 |
1,234 |
$127K |
| D9248 |
|
901 |
818 |
$117K |
| D1208 |
|
8,092 |
7,933 |
$116K |
| D9223 |
|
297 |
271 |
$111K |
| D1110 |
|
1,813 |
1,785 |
$77K |
| D9310 |
|
1,616 |
1,565 |
$75K |
| D0220 |
|
2,570 |
2,484 |
$37K |
| D0272 |
|
2,180 |
2,135 |
$37K |
| D7140 |
|
474 |
266 |
$31K |
| D0230 |
|
3,839 |
1,497 |
$28K |
| D0240 |
|
1,011 |
979 |
$27K |
| D9230 |
|
1,041 |
1,003 |
$27K |
| D1351 |
|
1,084 |
370 |
$25K |
| D9222 |
|
286 |
271 |
$22K |
| D0274 |
|
724 |
696 |
$21K |
| D0150 |
|
256 |
256 |
$7K |
| D0140 |
|
209 |
202 |
$6K |
| D2330 |
|
73 |
39 |
$4K |