CANTON PEDIATRIC DENTAL CENTER, LLC
NPI: 1588069587
· WOOSTER, OH 44691
· 261QD0000X
$1.37M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,618 |
$25K |
| 2019 |
5,881 |
$70K |
| 2020 |
6,535 |
$109K |
| 2021 |
9,381 |
$190K |
| 2022 |
11,113 |
$210K |
| 2023 |
9,138 |
$197K |
| 2024 |
12,409 |
$566K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
11,376 |
10,690 |
$258K |
| D2930 |
|
1,319 |
317 |
$195K |
| D1208 |
|
10,991 |
10,328 |
$190K |
| D0120 |
|
8,783 |
8,303 |
$177K |
| D7140 |
|
1,842 |
717 |
$140K |
| D0240 |
|
5,711 |
2,600 |
$69K |
| D0330 |
|
1,152 |
1,124 |
$68K |
| D0150 |
|
2,306 |
2,160 |
$68K |
| D0272 |
|
4,653 |
4,422 |
$51K |
| D0140 |
|
1,519 |
1,472 |
$41K |
| D9230 |
|
532 |
525 |
$23K |
| D0220 |
|
3,516 |
3,382 |
$22K |
| D3220 |
|
214 |
90 |
$20K |
| D0230 |
|
2,757 |
2,387 |
$17K |
| D2392 |
|
139 |
95 |
$15K |
| D2391 |
|
199 |
137 |
$13K |
| D0270 |
|
24 |
24 |
$122.50 |
| D1999 |
|
42 |
40 |
$0.00 |