3 RIVERS PEDIATRIC DENTISTRY
NPI: 1578081428
· MISSOULA, MT 59801
· 1223P0221X
$4.90M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,616 |
$305K |
| 2019 |
21,057 |
$742K |
| 2020 |
17,841 |
$653K |
| 2021 |
24,255 |
$874K |
| 2022 |
22,442 |
$843K |
| 2023 |
21,685 |
$837K |
| 2024 |
16,185 |
$642K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
6,622 |
3,375 |
$891K |
| D1120 |
|
19,643 |
18,869 |
$711K |
| D0120 |
|
17,841 |
17,316 |
$481K |
| D1206 |
|
22,292 |
21,280 |
$466K |
| D1310 |
|
8,857 |
8,217 |
$347K |
| D2930 |
|
2,072 |
845 |
$272K |
| D2391 |
|
3,172 |
2,023 |
$241K |
| D1351 |
|
8,407 |
2,613 |
$238K |
| D0272 |
|
9,079 |
8,705 |
$208K |
| D1330 |
|
8,847 |
8,208 |
$202K |
| D9230 |
|
4,795 |
4,360 |
$159K |
| D7140 |
|
1,548 |
844 |
$119K |
| D0425 |
|
2,784 |
2,639 |
$119K |
| D0330 |
|
1,806 |
1,718 |
$105K |
| D0145 |
|
2,801 |
2,710 |
$99K |
| D0220 |
|
3,054 |
2,893 |
$52K |
| D0150 |
|
1,320 |
1,247 |
$46K |
| D1354 |
|
1,310 |
578 |
$29K |
| D0140 |
|
668 |
631 |
$24K |
| D9310 |
|
371 |
344 |
$19K |
| D0603 |
|
1,817 |
1,728 |
$18K |
| D0230 |
|
1,585 |
1,332 |
$16K |
| D1110 |
|
265 |
256 |
$14K |
| D0274 |
|
276 |
273 |
$10K |
| D3220 |
|
101 |
40 |
$8K |
| D0270 |
|
90 |
88 |
$2K |
| D0350 |
|
1,441 |
1,390 |
$2K |
| D1352 |
|
21 |
12 |
$803.20 |
| D1999 |
|
138 |
133 |
$790.50 |
| D0601 |
|
58 |
57 |
$557.15 |