ROCHESTER PEDIATRIC DENTISTRY LLC
NPI: 1609272822
· ROCHESTER, MN 55904
· 1223P0221X
$11.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,423 |
$205K |
| 2019 |
28,694 |
$1.49M |
| 2020 |
22,868 |
$1.24M |
| 2021 |
30,766 |
$1.73M |
| 2022 |
32,527 |
$2.45M |
| 2023 |
31,626 |
$2.26M |
| 2024 |
33,172 |
$2.26M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
17,917 |
5,872 |
$3.46M |
| D1120 |
|
24,071 |
23,931 |
$1.07M |
| D0120 |
|
20,663 |
20,556 |
$838K |
| D1354 |
|
22,016 |
7,939 |
$792K |
| D1206 |
|
23,980 |
23,808 |
$752K |
| D7140 |
|
6,100 |
3,334 |
$664K |
| D2392 |
|
6,187 |
3,689 |
$584K |
| D1351 |
|
11,479 |
4,124 |
$461K |
| D0272 |
|
13,031 |
12,938 |
$448K |
| D2391 |
|
4,838 |
3,254 |
$372K |
| D0150 |
|
6,050 |
6,014 |
$305K |
| D0330 |
|
2,798 |
2,786 |
$275K |
| D9230 |
|
11,787 |
10,509 |
$265K |
| D2934 |
|
1,038 |
325 |
$262K |
| D0220 |
|
8,334 |
8,165 |
$186K |
| D3220 |
|
1,962 |
1,163 |
$178K |
| D0230 |
|
8,808 |
4,927 |
$153K |
| D0140 |
|
2,295 |
2,244 |
$121K |
| D1330 |
|
2,621 |
2,608 |
$107K |
| D1110 |
|
1,289 |
1,285 |
$77K |
| D1510 |
|
282 |
214 |
$59K |
| D9920 |
|
1,125 |
1,019 |
$58K |
| D0274 |
|
777 |
777 |
$42K |
| D9420 |
|
1,002 |
950 |
$42K |
| D2330 |
|
378 |
270 |
$30K |
| D0170 |
|
267 |
262 |
$17K |
| D2331 |
|
163 |
113 |
$8K |
| D0145 |
|
211 |
211 |
$5K |
| D2393 |
|
37 |
31 |
$4K |
| D1353 |
|
556 |
286 |
$141.35 |
| D1208 |
|
14 |
14 |
$0.00 |