JEFFERSONVILLE PEDIATRIC DENTISTRY LLC
NPI: 1548917982
· JEFFERSONVILLE, IN 47130
· 1223P0221X
$2.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
7,626 |
$229K |
| 2023 |
29,826 |
$1.04M |
| 2024 |
36,412 |
$1.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
11,803 |
11,353 |
$277K |
| D1120 |
|
7,581 |
7,296 |
$275K |
| D1110 |
|
5,261 |
5,062 |
$254K |
| D1206 |
|
10,930 |
10,501 |
$244K |
| D1351 |
|
7,525 |
1,206 |
$222K |
| D2930 |
|
1,395 |
719 |
$203K |
| D2392 |
|
1,903 |
1,012 |
$148K |
| D7140 |
|
1,643 |
921 |
$146K |
| D3220 |
|
1,250 |
667 |
$131K |
| D1354 |
|
1,583 |
566 |
$100K |
| D0330 |
|
1,778 |
1,703 |
$87K |
| D9230 |
|
2,497 |
2,155 |
$72K |
| D0272 |
|
3,078 |
2,950 |
$69K |
| D2391 |
|
1,122 |
729 |
$69K |
| D0274 |
|
1,624 |
1,563 |
$51K |
| D0230 |
|
4,566 |
2,923 |
$49K |
| D0220 |
|
3,791 |
3,587 |
$48K |
| D0150 |
|
1,026 |
990 |
$41K |
| D0140 |
|
945 |
905 |
$34K |
| D9920 |
|
666 |
588 |
$31K |
| D1510 |
|
226 |
163 |
$30K |
| D0210 |
|
1,286 |
988 |
$30K |
| D9248 |
|
242 |
222 |
$25K |
| D2393 |
|
143 |
91 |
$18K |