PEDIATRIC DENTAL CENTER
NPI: 1649369356
· WARREN, MI 48093
· 1223P0221X
$3.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,853 |
$336K |
| 2019 |
9,947 |
$485K |
| 2020 |
6,704 |
$293K |
| 2021 |
9,604 |
$429K |
| 2022 |
9,677 |
$433K |
| 2023 |
10,138 |
$475K |
| 2024 |
11,038 |
$554K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
3,537 |
2,384 |
$442K |
| D1120 |
|
9,913 |
9,910 |
$418K |
| D2930 |
|
2,080 |
1,349 |
$390K |
| D0120 |
|
9,578 |
9,577 |
$324K |
| D1208 |
|
10,671 |
10,668 |
$297K |
| D2391 |
|
2,863 |
2,064 |
$272K |
| D7140 |
|
2,010 |
1,250 |
$176K |
| D1351 |
|
4,444 |
1,766 |
$143K |
| D0272 |
|
4,022 |
4,022 |
$103K |
| D0140 |
|
1,313 |
1,302 |
$80K |
| D0220 |
|
3,683 |
3,638 |
$68K |
| D0230 |
|
4,811 |
1,921 |
$63K |
| D0150 |
|
883 |
882 |
$54K |
| D1110 |
|
721 |
721 |
$38K |
| D3220 |
|
290 |
214 |
$38K |
| D0330 |
|
484 |
484 |
$38K |
| D0240 |
|
1,738 |
926 |
$37K |
| D0274 |
|
413 |
413 |
$15K |
| D2330 |
|
37 |
27 |
$3K |
| D2393 |
|
17 |
14 |
$2K |
| D2331 |
|
16 |
12 |
$2K |
| D0145 |
|
14 |
14 |
$602.00 |
| D9230 |
|
423 |
349 |
$0.00 |