WEST TENNESSEE PEDIATRIC DENTAL GROUP INC
NPI: 1528152394
· JACKSON, TN 38305
· 1223P0221X
$1.62M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,623 |
$257K |
| 2019 |
6,495 |
$288K |
| 2020 |
5,453 |
$233K |
| 2021 |
5,849 |
$240K |
| 2022 |
6,582 |
$240K |
| 2023 |
5,496 |
$225K |
| 2024 |
4,352 |
$135K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
5,677 |
1,935 |
$580K |
| D3220 |
|
3,442 |
1,423 |
$253K |
| D9248 |
|
1,842 |
1,697 |
$148K |
| D0120 |
|
4,299 |
4,067 |
$87K |
| D1120 |
|
3,146 |
2,969 |
$85K |
| D7140 |
|
1,397 |
759 |
$81K |
| D1206 |
|
4,268 |
4,028 |
$79K |
| D0140 |
|
2,973 |
2,876 |
$67K |
| D0272 |
|
4,700 |
4,463 |
$64K |
| D9230 |
|
1,805 |
1,690 |
$50K |
| D0220 |
|
3,170 |
2,985 |
$36K |
| D2140 |
|
384 |
253 |
$22K |
| D2391 |
|
368 |
232 |
$20K |
| D1110 |
|
379 |
347 |
$14K |
| D0230 |
|
1,235 |
533 |
$12K |
| D1351 |
|
358 |
135 |
$10K |
| D2392 |
|
117 |
75 |
$7K |
| D2150 |
|
45 |
34 |
$3K |
| D0330 |
|
12 |
12 |
$475.62 |
| D1999 |
|
233 |
214 |
$0.00 |