MONTSHIRE PEDIATRIC DENTISTRY, PC
NPI: 1417447673
· KEENE, NH 03431
· 1223P0221X
$7.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,621 |
$37K |
| 2019 |
13,206 |
$382K |
| 2020 |
21,328 |
$562K |
| 2021 |
39,697 |
$983K |
| 2022 |
54,776 |
$1.48M |
| 2023 |
53,897 |
$1.58M |
| 2024 |
57,988 |
$2.05M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
62,082 |
11,734 |
$1.54M |
| D1351 |
|
38,847 |
5,944 |
$905K |
| D1120 |
|
21,769 |
20,514 |
$827K |
| D2930 |
|
3,843 |
2,014 |
$732K |
| D2940 |
|
13,561 |
4,894 |
$690K |
| D0120 |
|
17,014 |
16,182 |
$520K |
| D1206 |
|
23,967 |
22,620 |
$478K |
| D0150 |
|
5,796 |
5,306 |
$314K |
| D0272 |
|
8,898 |
8,336 |
$233K |
| D1110 |
|
3,357 |
3,107 |
$178K |
| D7140 |
|
1,538 |
791 |
$144K |
| D0274 |
|
3,470 |
3,238 |
$125K |
| D0330 |
|
2,309 |
2,092 |
$110K |
| D0140 |
|
1,863 |
1,733 |
$84K |
| D9230 |
|
1,361 |
1,234 |
$56K |
| D9920 |
|
1,664 |
1,558 |
$36K |
| D1330 |
|
11,529 |
10,938 |
$33K |
| D2391 |
|
228 |
156 |
$21K |
| D2392 |
|
183 |
138 |
$19K |
| D0220 |
|
534 |
507 |
$6K |
| D0240 |
|
453 |
224 |
$5K |
| D0145 |
|
70 |
69 |
$3K |
| D9630 |
|
278 |
248 |
$3K |
| D3120 |
|
148 |
88 |
$2K |
| D0230 |
|
110 |
100 |
$591.64 |
| D0603 |
|
12,350 |
11,002 |
$0.00 |
| D9995 |
|
26 |
25 |
$0.00 |
| D0602 |
|
3,609 |
3,431 |
$0.00 |
| D135 |
|
1,038 |
100 |
$0.00 |
| U1351 |
|
536 |
46 |
$0.00 |
| D0601 |
|
19 |
17 |
$0.00 |
| D9986 |
|
42 |
41 |
$0.00 |
| D9996 |
|
21 |
16 |
$0.00 |