DAKOTA PEDIATRIC DENTISTRY
NPI: 1487824991
· FARGO, ND 58104
· 1223G0001X
$122K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,329 |
$35K |
| 2019 |
1,498 |
$38K |
| 2020 |
1,215 |
$28K |
| 2021 |
745 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
1,257 |
1,167 |
$46K |
| D1206 |
|
1,638 |
1,522 |
$33K |
| D0120 |
|
1,375 |
1,269 |
$31K |
| D0272 |
|
425 |
382 |
$10K |
| D9230 |
|
79 |
67 |
$2K |
| D1110 |
|
13 |
13 |
$714.36 |