CHILDREN'S DENTISTRY OF SANFORD, LLP
NPI: 1437345691
· SANFORD, ME 04073
· 1223P0221X
$671K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,237 |
$79K |
| 2020 |
4,597 |
$110K |
| 2021 |
8,308 |
$213K |
| 2022 |
7,733 |
$209K |
| 2023 |
1,350 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,738 |
637 |
$144K |
| D1120 |
|
3,786 |
3,512 |
$107K |
| D0120 |
|
3,121 |
2,936 |
$80K |
| D0191 |
|
3,960 |
3,598 |
$55K |
| D1351 |
|
3,129 |
527 |
$52K |
| D1208 |
|
3,977 |
3,709 |
$50K |
| D0150 |
|
909 |
828 |
$43K |
| D2393 |
|
377 |
177 |
$37K |
| D2391 |
|
490 |
165 |
$28K |
| D0272 |
|
1,732 |
1,634 |
$28K |
| D1110 |
|
260 |
258 |
$11K |
| D0140 |
|
458 |
421 |
$11K |
| D9230 |
|
347 |
276 |
$7K |
| D0330 |
|
165 |
155 |
$6K |
| D0220 |
|
561 |
533 |
$5K |
| D2930 |
|
31 |
13 |
$3K |
| D3220 |
|
29 |
12 |
$1K |
| D0230 |
|
155 |
153 |
$968.50 |