FOOTHILLS PEDIATRIC DENTRISTRY, P.C.
NPI: 1629029657
· MARYVILLE, TN 37804
· Pediatric Dentist
$2.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,481 |
$126K |
| 2019 |
6,739 |
$186K |
| 2020 |
7,384 |
$184K |
| 2021 |
9,383 |
$278K |
| 2022 |
12,321 |
$514K |
| 2023 |
13,789 |
$517K |
| 2024 |
12,510 |
$414K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D8670 |
|
5,862 |
5,497 |
$509K |
| D1120 |
|
13,058 |
12,500 |
$410K |
| D0120 |
|
13,580 |
13,008 |
$311K |
| D1206 |
|
15,176 |
14,520 |
$304K |
| D2930 |
|
2,562 |
591 |
$252K |
| D0272 |
|
6,717 |
6,424 |
$112K |
| D0150 |
|
2,040 |
1,992 |
$58K |
| D9230 |
|
2,097 |
1,848 |
$57K |
| D8080 |
|
77 |
70 |
$46K |
| D2392 |
|
598 |
286 |
$40K |
| D8660 |
|
616 |
600 |
$28K |
| D8680 |
|
129 |
105 |
$27K |
| D0220 |
|
1,779 |
1,652 |
$20K |
| D3220 |
|
197 |
80 |
$16K |
| D0330 |
|
312 |
289 |
$13K |
| D1110 |
|
118 |
108 |
$4K |
| D7140 |
|
76 |
27 |
$4K |
| D1351 |
|
139 |
37 |
$4K |
| D0230 |
|
495 |
279 |
$4K |
| D9110 |
|
14 |
13 |
$564.64 |
| D9987 |
|
33 |
31 |
$0.00 |
| D1999 |
|
885 |
803 |
$0.00 |
| D9986 |
|
31 |
30 |
$0.00 |
| D9420 |
|
16 |
15 |
$0.00 |