JASPER PEDIATRIC DENTISTRY, LLC
NPI: 1649303355
· JASPER, AL 35501
· 1223P0221X
$6.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,401 |
$1.07M |
| 2019 |
37,236 |
$1.01M |
| 2020 |
33,390 |
$729K |
| 2021 |
43,496 |
$1.17M |
| 2022 |
32,160 |
$906K |
| 2023 |
29,933 |
$926K |
| 2024 |
28,916 |
$910K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
9,960 |
2,124 |
$950K |
| D1120 |
|
28,548 |
28,008 |
$792K |
| D0120 |
|
35,043 |
34,439 |
$649K |
| D1208 |
|
31,198 |
30,652 |
$447K |
| D2391 |
|
6,824 |
4,070 |
$400K |
| D0330 |
|
7,599 |
7,419 |
$358K |
| D3220 |
|
5,009 |
1,972 |
$357K |
| D0272 |
|
19,630 |
19,258 |
$345K |
| D1354 |
|
13,776 |
3,162 |
$299K |
| D1110 |
|
8,455 |
8,320 |
$299K |
| D2392 |
|
4,015 |
2,680 |
$297K |
| D1206 |
|
11,592 |
11,299 |
$278K |
| D7140 |
|
5,004 |
2,298 |
$257K |
| D1351 |
|
9,811 |
2,939 |
$225K |
| D1999 |
|
13,634 |
13,026 |
$201K |
| D9230 |
|
7,653 |
7,158 |
$158K |
| D0220 |
|
10,531 |
10,221 |
$112K |
| D0150 |
|
4,593 |
4,478 |
$112K |
| D0230 |
|
7,066 |
5,950 |
$64K |
| D0140 |
|
1,526 |
1,477 |
$42K |
| D0145 |
|
1,448 |
1,426 |
$34K |
| D2330 |
|
435 |
268 |
$23K |
| D2331 |
|
156 |
94 |
$11K |
| D2393 |
|
13 |
12 |
$1K |
| D0210 |
|
13 |
12 |
$660.00 |