CLEMENTS FAMILY DENTISTRY
NPI: 1437598802
· EL DORADO, AR 71730
· 122300000X
$446K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
741 |
$21K |
| 2021 |
3,028 |
$95K |
| 2022 |
4,142 |
$129K |
| 2023 |
3,741 |
$113K |
| 2024 |
3,329 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,336 |
2,287 |
$105K |
| D0120 |
|
3,484 |
3,390 |
$85K |
| D0272 |
|
3,012 |
2,944 |
$69K |
| D1120 |
|
1,483 |
1,449 |
$50K |
| D1208 |
|
2,624 |
2,576 |
$48K |
| D0210 |
|
354 |
352 |
$30K |
| D9230 |
|
753 |
697 |
$18K |
| D2150 |
|
220 |
157 |
$17K |
| D0140 |
|
191 |
180 |
$6K |
| D0330 |
|
102 |
99 |
$5K |
| D2140 |
|
77 |
63 |
$5K |
| D0220 |
|
278 |
267 |
$5K |
| D7140 |
|
50 |
16 |
$3K |
| D2392 |
|
17 |
12 |
$1K |