SIOUXLAND DENTAL HEALTH - SOUTH SIOUX, LLC
NPI: 1386981561
· SOUTH SIOUX CITY, NE 68776
· 1223G0001X
$1.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,442 |
$297K |
| 2019 |
11,202 |
$277K |
| 2020 |
6,804 |
$166K |
| 2021 |
7,272 |
$182K |
| 2022 |
5,981 |
$301K |
| 2023 |
6,711 |
$380K |
| 2024 |
3,536 |
$161K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,054 |
1,910 |
$283K |
| D1206 |
|
10,988 |
10,726 |
$268K |
| D0120 |
|
9,723 |
9,622 |
$264K |
| D1110 |
|
4,357 |
4,311 |
$195K |
| D1120 |
|
5,666 |
5,616 |
$191K |
| D1351 |
|
5,094 |
1,169 |
$160K |
| D0274 |
|
3,627 |
3,584 |
$101K |
| D2391 |
|
915 |
695 |
$60K |
| D0150 |
|
1,239 |
1,218 |
$40K |
| D7140 |
|
770 |
280 |
$38K |
| D4910 |
|
403 |
400 |
$26K |
| D0210 |
|
324 |
323 |
$25K |
| D0330 |
|
856 |
844 |
$25K |
| D0220 |
|
2,220 |
2,099 |
$20K |
| D0272 |
|
1,155 |
1,143 |
$16K |
| D9230 |
|
263 |
246 |
$14K |
| D2393 |
|
129 |
98 |
$11K |
| D0230 |
|
1,346 |
545 |
$8K |
| D0140 |
|
255 |
253 |
$6K |
| D1999 |
|
516 |
500 |
$5K |
| D2740 |
|
18 |
13 |
$5K |
| D2331 |
|
14 |
12 |
$1K |
| D7210 |
|
16 |
12 |
$1K |