PEDIATRIC DENTRISTRY OF MANSFIELD,PLLC
NPI: 1508133224
· MANSFIELD, TX 76063
· 1223P0221X
$371K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
48 |
$1K |
| 2021 |
4,775 |
$87K |
| 2022 |
5,331 |
$91K |
| 2023 |
6,815 |
$109K |
| 2024 |
5,143 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,440 |
3,275 |
$110K |
| D0120 |
|
3,741 |
3,547 |
$96K |
| D0272 |
|
2,276 |
2,171 |
$46K |
| D1208 |
|
2,390 |
2,322 |
$32K |
| D0220 |
|
2,632 |
2,474 |
$28K |
| D0230 |
|
2,491 |
2,026 |
$24K |
| D1206 |
|
1,318 |
1,220 |
$17K |
| D0145 |
|
61 |
57 |
$8K |
| D1110 |
|
164 |
157 |
$7K |
| D0274 |
|
58 |
54 |
$1K |
| D9230 |
|
39 |
37 |
$894.63 |
| D0150 |
|
13 |
12 |
$423.84 |
| D0330 |
|
12 |
12 |
$299.20 |
| D0602 |
|
1,153 |
1,119 |
$0.00 |
| D0603 |
|
2,197 |
2,116 |
$0.00 |
| D0601 |
|
127 |
119 |
$0.00 |