MAIN STREET CHILDREN'S DENTISTRY OF WELLINGTON
NPI: 1629272349
· WELLINGTON, FL 33414
· 1223P0221X
$345K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
79 |
$2K |
| 2020 |
2,955 |
$56K |
| 2021 |
12 |
$90.00 |
| 2022 |
5,040 |
$65K |
| 2023 |
7,690 |
$121K |
| 2024 |
6,000 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,598 |
2,557 |
$119K |
| D1110 |
|
1,007 |
990 |
$63K |
| D0120 |
|
3,243 |
3,192 |
$59K |
| D2392 |
|
267 |
187 |
$26K |
| D0210 |
|
145 |
145 |
$14K |
| D0150 |
|
275 |
275 |
$14K |
| D0330 |
|
116 |
116 |
$10K |
| D1208 |
|
3,490 |
3,432 |
$9K |
| D0220 |
|
2,267 |
2,204 |
$7K |
| D1330 |
|
3,497 |
3,438 |
$5K |
| D0230 |
|
1,808 |
1,753 |
$4K |
| D0272 |
|
1,380 |
1,358 |
$3K |
| D9230 |
|
315 |
298 |
$3K |
| D0274 |
|
938 |
921 |
$3K |
| D7140 |
|
24 |
17 |
$3K |
| D1351 |
|
361 |
107 |
$3K |
| D0140 |
|
24 |
24 |
$317.62 |
| D3120 |
|
21 |
18 |
$0.00 |