PERLA DENTAL OF ARLINGTON PA
NPI: 1376769125
· ARLINGTON, TX 76010
· 1223G0001X
$492K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
623 |
$17K |
| 2021 |
6,352 |
$150K |
| 2022 |
5,704 |
$124K |
| 2023 |
5,755 |
$132K |
| 2024 |
3,670 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,129 |
493 |
$107K |
| D0120 |
|
2,728 |
2,662 |
$75K |
| D0274 |
|
1,600 |
1,547 |
$52K |
| D1110 |
|
903 |
874 |
$46K |
| D1120 |
|
1,334 |
1,298 |
$46K |
| D1208 |
|
3,035 |
2,953 |
$42K |
| D0220 |
|
3,214 |
3,113 |
$38K |
| D0230 |
|
3,525 |
2,988 |
$38K |
| D2391 |
|
280 |
149 |
$21K |
| D0145 |
|
71 |
68 |
$10K |
| D1351 |
|
352 |
93 |
$9K |
| D0272 |
|
269 |
258 |
$6K |
| D0150 |
|
57 |
53 |
$2K |
| D0603 |
|
3,574 |
3,451 |
$9.00 |
| D0602 |
|
33 |
33 |
$0.00 |