MARTIN PEDIATRIC DENTISTRY, LLC
NPI: 1629230644
· MAULDIN, SC 29662
· 1223P0221X
$1.25M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,303 |
$315K |
| 2019 |
8,373 |
$237K |
| 2020 |
7,147 |
$219K |
| 2021 |
8,157 |
$247K |
| 2022 |
8,390 |
$229K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,533 |
1,204 |
$263K |
| D1120 |
|
3,844 |
3,844 |
$134K |
| D0120 |
|
5,355 |
5,355 |
$123K |
| D1110 |
|
2,451 |
2,451 |
$123K |
| D1208 |
|
6,213 |
6,213 |
$101K |
| D0272 |
|
5,024 |
5,024 |
$93K |
| D0220 |
|
6,128 |
5,906 |
$79K |
| D2391 |
|
929 |
533 |
$73K |
| D7140 |
|
830 |
470 |
$73K |
| D0230 |
|
6,388 |
5,609 |
$66K |
| D9230 |
|
1,948 |
1,765 |
$63K |
| D1351 |
|
1,086 |
394 |
$33K |
| D0150 |
|
499 |
499 |
$20K |
| D0274 |
|
142 |
142 |
$4K |