SOUTHEAST PEDIATRIC DENTISTRY AND ORTHODONTICS PC
NPI: 1578984662
· DARTMOUTH, MA 02747
· 1223P0221X
$2.25M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,868 |
$456K |
| 2019 |
2,163 |
$435K |
| 2020 |
1,779 |
$354K |
| 2021 |
1,798 |
$317K |
| 2022 |
1,853 |
$312K |
| 2023 |
1,346 |
$251K |
| 2024 |
543 |
$128K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
|
6,677 |
6,161 |
$1.58M |
| D8080 |
|
330 |
308 |
$363K |
| D8680 |
|
2,113 |
1,449 |
$178K |
| D8690 |
|
514 |
486 |
$63K |
| D9310 |
|
825 |
628 |
$35K |
| D8660 |
|
879 |
852 |
$29K |
| D8999 |
|
12 |
12 |
$648.00 |