LEGACY DENTAL OF BEAUMONT PLLC
NPI: 1407319213
· BEAUMONT, TX 77708
· 1223G0001X
$418K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
52 |
$94.78 |
| 2021 |
2,170 |
$54K |
| 2022 |
4,269 |
$106K |
| 2023 |
5,576 |
$145K |
| 2024 |
4,921 |
$113K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
771 |
761 |
$106K |
| D2392 |
|
519 |
248 |
$48K |
| D1120 |
|
1,276 |
1,247 |
$44K |
| D0120 |
|
1,350 |
1,310 |
$37K |
| D0230 |
|
3,129 |
1,225 |
$32K |
| D1208 |
|
1,927 |
1,876 |
$27K |
| D1110 |
|
477 |
471 |
$25K |
| D1351 |
|
845 |
132 |
$22K |
| D0150 |
|
557 |
539 |
$19K |
| D0220 |
|
1,916 |
1,845 |
$19K |
| D0274 |
|
521 |
500 |
$16K |
| D0330 |
|
283 |
277 |
$7K |
| D0210 |
|
74 |
74 |
$5K |
| D9230 |
|
186 |
163 |
$5K |
| D0272 |
|
154 |
152 |
$3K |
| D2391 |
|
37 |
14 |
$3K |
| D0603 |
|
2,966 |
2,914 |
$0.00 |