SOUTH JERSEY PEDIATRIC DENTAL, LLC
NPI: 1598199101
· VINELAND, NJ 08360
· 1223G0001X
$1.94M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,070 |
$974K |
| 2019 |
20,538 |
$805K |
| 2020 |
3,617 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
5,360 |
5,359 |
$241K |
| D1120 |
|
5,176 |
5,176 |
$233K |
| D1351 |
|
4,660 |
1,744 |
$210K |
| D2392 |
|
1,882 |
911 |
$206K |
| D2150 |
|
1,296 |
586 |
$141K |
| D0272 |
|
4,063 |
4,062 |
$138K |
| D7140 |
|
1,081 |
569 |
$135K |
| D1208 |
|
3,653 |
3,653 |
$82K |
| D0220 |
|
4,754 |
4,676 |
$71K |
| D0230 |
|
4,438 |
4,411 |
$71K |
| D9920 |
|
1,578 |
1,418 |
$58K |
| D1206 |
|
1,716 |
1,716 |
$55K |
| D2393 |
|
441 |
268 |
$52K |
| D0330 |
|
594 |
594 |
$45K |
| D9230 |
|
2,217 |
2,070 |
$44K |
| D2160 |
|
308 |
210 |
$37K |
| D0603 |
|
2,519 |
2,519 |
$25K |
| D2391 |
|
250 |
149 |
$24K |
| D0210 |
|
291 |
291 |
$22K |
| D0140 |
|
462 |
445 |
$21K |
| D7111 |
|
247 |
157 |
$14K |
| D2330 |
|
68 |
32 |
$5K |
| D2932 |
|
24 |
12 |
$5K |
| D1110 |
|
54 |
54 |
$3K |
| D2930 |
|
23 |
12 |
$3K |
| D2331 |
|
28 |
13 |
$3K |
| D2332 |
|
18 |
12 |
$2K |
| D9430 |
|
12 |
12 |
$295.00 |
| D0602 |
|
12 |
12 |
$120.00 |