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MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA
MAIN STREET CHILDREN'S DENTISTRY OF JUPITER, PA
NPI: 1487766838
· JUPITER, FL 33458
· 1223P0221X
$824K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
688 |
$12K |
| 2020 |
6,852 |
$130K |
| 2021 |
1,765 |
$21K |
| 2022 |
20,718 |
$275K |
| 2023 |
13,209 |
$213K |
| 2024 |
14,321 |
$173K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,500 |
5,097 |
$279K |
| D1110 |
|
1,840 |
1,721 |
$134K |
| D2392 |
|
1,457 |
831 |
$87K |
| D0120 |
|
6,178 |
5,744 |
$86K |
| D0150 |
|
1,091 |
1,014 |
$65K |
| D2391 |
|
699 |
436 |
$26K |
| D1351 |
|
4,606 |
1,132 |
$22K |
| D0330 |
|
633 |
611 |
$20K |
| D7140 |
|
421 |
268 |
$18K |
| D9230 |
|
1,036 |
907 |
$15K |
| D0220 |
|
6,955 |
6,398 |
$13K |
| D1208 |
|
6,799 |
6,320 |
$13K |
| D0140 |
|
469 |
425 |
$11K |
| D0230 |
|
6,538 |
6,015 |
$6K |
| D1354 |
|
515 |
101 |
$6K |
| D0272 |
|
4,604 |
4,240 |
$5K |
| D1330 |
|
6,417 |
5,945 |
$5K |
| D2930 |
|
70 |
58 |
$5K |
| D3220 |
|
18 |
15 |
$4K |
| D0274 |
|
1,296 |
1,246 |
$3K |
| D9999 |
|
27 |
27 |
$675.00 |
| D9995 |
|
15 |
15 |
$265.00 |
| D3120 |
|
126 |
106 |
$259.31 |
| D1206 |
|
243 |
201 |
$60.00 |