SAWGRASS PEDIATRIC DENTISTRY, LLC
NPI: 1427499540
· MYRTLE BEACH, SC 29579
· 1223P0221X
$3.56M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,570 |
$527K |
| 2019 |
16,543 |
$520K |
| 2020 |
14,790 |
$456K |
| 2021 |
15,914 |
$488K |
| 2022 |
15,324 |
$469K |
| 2023 |
15,039 |
$438K |
| 2024 |
17,414 |
$665K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
17,251 |
17,248 |
$605K |
| D0120 |
|
21,006 |
21,004 |
$495K |
| D1208 |
|
22,746 |
22,743 |
$374K |
| D0272 |
|
16,807 |
16,806 |
$319K |
| D1110 |
|
5,969 |
5,969 |
$303K |
| D2392 |
|
2,461 |
1,801 |
$263K |
| D2930 |
|
2,011 |
1,022 |
$259K |
| D2391 |
|
2,285 |
1,547 |
$200K |
| D0330 |
|
3,681 |
3,681 |
$170K |
| D9230 |
|
4,853 |
4,757 |
$159K |
| D1351 |
|
4,665 |
1,455 |
$141K |
| D7140 |
|
779 |
482 |
$84K |
| D0150 |
|
1,234 |
1,234 |
$52K |
| D0240 |
|
2,459 |
2,011 |
$46K |
| D0140 |
|
1,143 |
1,134 |
$44K |
| D0220 |
|
1,285 |
1,273 |
$17K |
| D0274 |
|
523 |
523 |
$15K |
| D0145 |
|
264 |
263 |
$14K |
| D0230 |
|
92 |
54 |
$1K |
| D1354 |
|
80 |
30 |
$970.00 |