LONE STAR PEDIATRIC DENTAL, PLLC
NPI: 1376854364
· AUSTIN, TX 78704
· 1223P0221X
$746K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
350 |
$4K |
| 2019 |
394 |
$5K |
| 2020 |
6,403 |
$149K |
| 2021 |
25,104 |
$588K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,424 |
3,411 |
$97K |
| D1120 |
|
2,511 |
2,500 |
$90K |
| D1351 |
|
3,275 |
878 |
$90K |
| D0145 |
|
557 |
552 |
$78K |
| D1208 |
|
3,717 |
3,702 |
$54K |
| D1110 |
|
977 |
973 |
$53K |
| D0272 |
|
2,167 |
2,158 |
$47K |
| D0220 |
|
3,964 |
3,916 |
$45K |
| D0230 |
|
3,890 |
3,650 |
$40K |
| D0274 |
|
965 |
962 |
$30K |
| D2392 |
|
316 |
155 |
$29K |
| D9248 |
|
176 |
168 |
$20K |
| D2391 |
|
260 |
170 |
$20K |
| D2930 |
|
94 |
52 |
$14K |
| D0210 |
|
167 |
167 |
$11K |
| D9230 |
|
344 |
334 |
$9K |
| D0150 |
|
186 |
186 |
$6K |
| D0330 |
|
417 |
416 |
$6K |
| D7140 |
|
111 |
71 |
$6K |
| D0140 |
|
170 |
167 |
$3K |
| D0603 |
|
4,563 |
4,539 |
$0.00 |