PEDIATRIC DENTAL GROUP, PC
NPI: 1427591031
· BELLEVUE, NE 68005
· 1223P0221X
$780K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,060 |
$45K |
| 2019 |
2,448 |
$52K |
| 2020 |
2,143 |
$47K |
| 2021 |
5,757 |
$110K |
| 2022 |
8,092 |
$163K |
| 2023 |
7,050 |
$167K |
| 2024 |
7,444 |
$196K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,846 |
6,823 |
$194K |
| D1206 |
|
6,682 |
6,552 |
$168K |
| D0120 |
|
5,807 |
5,785 |
$140K |
| D1351 |
|
2,286 |
692 |
$58K |
| D1999 |
|
4,317 |
4,166 |
$43K |
| D0272 |
|
2,866 |
2,851 |
$35K |
| D9230 |
|
1,088 |
1,047 |
$31K |
| D2930 |
|
181 |
53 |
$25K |
| D0150 |
|
948 |
944 |
$22K |
| D1208 |
|
776 |
749 |
$17K |
| D2392 |
|
113 |
73 |
$9K |
| D0220 |
|
1,258 |
1,236 |
$8K |
| D0330 |
|
329 |
323 |
$6K |
| D2391 |
|
82 |
52 |
$5K |
| D0230 |
|
891 |
510 |
$4K |
| D0210 |
|
76 |
76 |
$4K |
| D0140 |
|
112 |
112 |
$3K |
| D0145 |
|
58 |
58 |
$2K |
| D1354 |
|
169 |
52 |
$2K |
| D1110 |
|
64 |
63 |
$2K |
| D7140 |
|
17 |
14 |
$961.38 |
| D0274 |
|
28 |
28 |
$441.14 |