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ST PAUL CHILDREN'S MEDICAL CORPORATION
ST PAUL CHILDREN'S MEDICAL CORPORATION
NPI: 1467689307
· TYLER, TX 75702
· Pediatric Dentist
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70 |
$2K |
| 2019 |
32 |
$729.90 |
| 2020 |
860 |
$23K |
| 2021 |
12,289 |
$354K |
| 2022 |
15,444 |
$484K |
| 2023 |
6,534 |
$171K |
| 2024 |
10,604 |
$313K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
|
1,503 |
1,425 |
$197K |
| D1120 |
|
4,965 |
4,769 |
$172K |
| D2392 |
|
1,761 |
1,280 |
$163K |
| D1351 |
|
5,489 |
992 |
$143K |
| D2391 |
|
1,626 |
1,053 |
$117K |
| D0120 |
|
4,345 |
4,123 |
$117K |
| D1110 |
|
1,970 |
1,901 |
$102K |
| D1206 |
|
7,022 |
6,757 |
$98K |
| D0272 |
|
3,446 |
3,303 |
$71K |
| D0274 |
|
2,037 |
1,962 |
$60K |
| D9230 |
|
1,209 |
1,106 |
$29K |
| D0330 |
|
881 |
840 |
$23K |
| D0150 |
|
576 |
551 |
$19K |
| D0220 |
|
1,161 |
1,121 |
$13K |
| D0230 |
|
1,192 |
787 |
$12K |
| D0210 |
|
141 |
141 |
$10K |
| D2393 |
|
18 |
14 |
$1K |
| D0603 |
|
3,630 |
3,471 |
$0.15 |
| D0602 |
|
2,861 |
2,715 |
$0.08 |