PEDIATRIC DENTAL GROUP, LLC
NPI: 1609018548
· TULSA, OK 74120
· 1223P0221X
$12.84M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16,303 |
$652K |
| 2022 |
94,461 |
$3.76M |
| 2023 |
105,183 |
$4.59M |
| 2024 |
89,065 |
$3.84M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
15,121 |
4,953 |
$1.80M |
| D2392 |
|
13,599 |
7,978 |
$1.52M |
| D9248 |
|
8,472 |
7,807 |
$1.13M |
| D1120 |
|
31,655 |
30,573 |
$957K |
| D0120 |
|
35,707 |
34,588 |
$755K |
| D1206 |
|
43,123 |
41,704 |
$744K |
| D1351 |
|
22,937 |
7,533 |
$553K |
| D1110 |
|
12,118 |
11,775 |
$547K |
| D2393 |
|
3,145 |
2,317 |
$479K |
| D3220 |
|
5,181 |
2,368 |
$469K |
| D2934 |
|
2,611 |
988 |
$393K |
| D7140 |
|
5,879 |
3,290 |
$389K |
| D2391 |
|
5,995 |
3,793 |
$359K |
| D0330 |
|
6,646 |
6,539 |
$319K |
| D0272 |
|
14,647 |
14,155 |
$266K |
| 00170 |
|
790 |
790 |
$253K |
| D9230 |
|
8,296 |
7,759 |
$225K |
| D9223 |
|
651 |
651 |
$204K |
| D0274 |
|
6,729 |
6,535 |
$203K |
| D0220 |
|
10,385 |
9,972 |
$157K |
| D0150 |
|
4,849 |
4,629 |
$146K |
| D0140 |
|
3,583 |
3,456 |
$108K |
| D0603 |
|
11,306 |
11,027 |
$103K |
| D0601 |
|
10,313 |
9,911 |
$94K |
| D1510 |
|
702 |
558 |
$84K |
| D8080 |
|
71 |
45 |
$78K |
| D0145 |
|
2,371 |
2,286 |
$72K |
| D7240 |
|
319 |
84 |
$70K |
| D7111 |
|
1,023 |
708 |
$62K |
| D0230 |
|
7,473 |
4,254 |
$57K |
| D9222 |
|
648 |
648 |
$51K |
| D0602 |
|
5,246 |
5,116 |
$48K |
| D9610 |
|
1,488 |
1,481 |
$45K |
| D3120 |
|
749 |
595 |
$23K |
| D2394 |
|
119 |
102 |
$20K |
| D9310 |
|
404 |
328 |
$20K |
| D2330 |
|
287 |
198 |
$17K |
| D3230 |
|
67 |
28 |
$7K |
| D0350 |
|
180 |
166 |
$5K |
| D2332 |
|
38 |
27 |
$4K |
| D0340 |
|
63 |
49 |
$4K |
| D7962 |
|
12 |
12 |
$2K |
| D0270 |
|
14 |
14 |
$213.36 |