VICKSBURG FAMILY DENTAL 61N
NPI: 1649626573
· VICKSBURG, MS 39183
· 1223G0001X
$493K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,301 |
$13K |
| 2019 |
743 |
$19K |
| 2020 |
743 |
$19K |
| 2021 |
3,929 |
$86K |
| 2022 |
5,123 |
$116K |
| 2023 |
3,789 |
$105K |
| 2024 |
4,343 |
$135K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,998 |
2,510 |
$76K |
| D1351 |
|
2,298 |
329 |
$58K |
| D0140 |
|
1,779 |
1,385 |
$57K |
| D0330 |
|
1,304 |
1,136 |
$52K |
| D0274 |
|
1,956 |
1,650 |
$44K |
| D0120 |
|
1,742 |
1,560 |
$44K |
| D1206 |
|
1,845 |
1,508 |
$37K |
| D0150 |
|
1,159 |
886 |
$35K |
| D0220 |
|
1,764 |
1,438 |
$21K |
| D2392 |
|
169 |
81 |
$17K |
| D0230 |
|
1,667 |
616 |
$16K |
| D1208 |
|
899 |
812 |
$14K |
| D7210 |
|
47 |
25 |
$5K |
| D7140 |
|
90 |
24 |
$5K |
| D9230 |
|
191 |
141 |
$5K |
| D2393 |
|
19 |
12 |
$3K |
| D0210 |
|
25 |
25 |
$2K |
| D0272 |
|
19 |
18 |
$163.47 |