LITTLE PEARLS DENTISTRY FOR CHILDREN, PC
NPI: 1588154330
· LANSDOWNE, VA 20176
· Pediatric Dentist
· NPI assigned 05/17/2018
$285K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,346 |
$34K |
| 2019 |
2,057 |
$49K |
| 2020 |
1,635 |
$40K |
| 2021 |
2,274 |
$59K |
| 2022 |
2,120 |
$63K |
| 2023 |
2,431 |
$40K |
| 2024 |
1,499 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,568 |
2,546 |
$72K |
| D1206 |
Topical application of fluoride varnish |
4,004 |
3,970 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
3,944 |
3,909 |
$66K |
| D1110 |
Prophylaxis - adult |
1,406 |
1,394 |
$53K |
| D0272 |
Bitewings - two radiographic images |
857 |
851 |
$15K |
| D0274 |
Bitewings - four radiographic images |
325 |
320 |
$7K |
| D1351 |
Sealant - per tooth |
63 |
16 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
71 |
$407.03 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
79 |
69 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
45 |
24 |
$0.00 |