PEDIATRIC DENTISTRY OF CASA GRANDE
NPI: 1558995951
· CASA GRANDE, AZ 85122
· 261QD0000X
$557K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
733 |
$20K |
| 2022 |
5,302 |
$175K |
| 2023 |
6,190 |
$225K |
| 2024 |
4,278 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,277 |
2,248 |
$95K |
| D0230 |
|
2,817 |
2,773 |
$79K |
| D2392 |
|
768 |
428 |
$71K |
| D0120 |
|
2,360 |
2,348 |
$68K |
| D2930 |
|
330 |
115 |
$46K |
| D0220 |
|
3,008 |
2,957 |
$43K |
| D1208 |
|
1,703 |
1,695 |
$35K |
| D0272 |
|
1,188 |
1,180 |
$27K |
| D3220 |
|
283 |
86 |
$25K |
| D9230 |
|
753 |
674 |
$21K |
| D7140 |
|
166 |
79 |
$14K |
| D0274 |
|
425 |
420 |
$14K |
| D1110 |
|
156 |
156 |
$8K |
| D2391 |
|
67 |
55 |
$5K |
| D1351 |
|
161 |
53 |
$5K |
| D0140 |
|
27 |
27 |
$1K |
| D1206 |
|
14 |
14 |
$312.76 |