WELLSVILLE FAMILY DENTAL PLLC
NPI: 1649849555
· WELLSVILLE, NY 14895
· 1223G0001X
$1.51M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,066 |
$104K |
| 2022 |
10,630 |
$1.00M |
| 2023 |
6,281 |
$389K |
| 2024 |
713 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
|
732 |
307 |
$674K |
| D7210 |
|
1,475 |
970 |
$230K |
| D2392 |
|
972 |
834 |
$96K |
| D1110 |
|
1,470 |
1,470 |
$80K |
| D0150 |
|
1,755 |
1,755 |
$53K |
| D0120 |
|
1,796 |
1,796 |
$49K |
| D0274 |
|
1,852 |
1,852 |
$48K |
| D2391 |
|
608 |
525 |
$39K |
| D0220 |
|
2,672 |
2,619 |
$35K |
| D3310 |
|
62 |
46 |
$32K |
| D0230 |
|
2,303 |
1,911 |
$31K |
| D2393 |
|
252 |
231 |
$30K |
| D3320 |
|
66 |
57 |
$26K |
| D1120 |
|
385 |
385 |
$16K |
| D3330 |
|
31 |
30 |
$14K |
| D0210 |
|
1,474 |
1,463 |
$12K |
| D0330 |
|
220 |
220 |
$11K |
| D0140 |
|
735 |
716 |
$10K |
| D2331 |
|
90 |
81 |
$9K |
| D1208 |
|
575 |
575 |
$8K |
| D2332 |
|
16 |
13 |
$2K |
| D2335 |
|
12 |
12 |
$2K |
| D0272 |
|
110 |
109 |
$2K |
| D2330 |
|
14 |
12 |
$777.20 |
| D1206 |
|
13 |
13 |
$342.00 |