THIRD STREET DENTAL MOBILE VAN
NPI: 1548594526
· MANSFIELD, OH 44906
· 261QF0400X
$746K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,199 |
$177K |
| 2019 |
6,895 |
$170K |
| 2020 |
4,032 |
$116K |
| 2021 |
4,765 |
$139K |
| 2022 |
4,306 |
$118K |
| 2023 |
967 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
|
4,110 |
2,674 |
$229K |
| D0330 |
|
2,486 |
2,403 |
$107K |
| D1110 |
|
2,943 |
2,890 |
$98K |
| D0140 |
|
4,611 |
4,461 |
$79K |
| D2392 |
|
713 |
577 |
$35K |
| D0150 |
|
1,412 |
1,353 |
$35K |
| D0274 |
|
2,220 |
2,151 |
$30K |
| D0120 |
|
1,727 |
1,696 |
$29K |
| D2391 |
|
606 |
452 |
$28K |
| D1208 |
|
1,723 |
1,690 |
$24K |
| D1120 |
|
1,090 |
1,064 |
$21K |
| D0220 |
|
3,167 |
3,060 |
$14K |
| D1351 |
|
343 |
108 |
$7K |
| D1206 |
|
296 |
296 |
$4K |
| D2393 |
|
53 |
43 |
$3K |
| D0272 |
|
172 |
170 |
$2K |
| D0230 |
|
139 |
89 |
$465.00 |
| D0210 |
|
13 |
13 |
$368.40 |
| D1330 |
|
1,278 |
1,204 |
$0.00 |
| D3120 |
|
15 |
12 |
$0.00 |
| D1999 |
|
47 |
46 |
$0.00 |