EASTDALE FAMILY DENTISTRY
NPI: 1659674315
· CHATTANOOGA, TN 37411
· 122300000X
$3.48M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,314 |
$578K |
| 2019 |
17,250 |
$602K |
| 2020 |
12,217 |
$414K |
| 2021 |
12,896 |
$432K |
| 2022 |
12,547 |
$419K |
| 2023 |
11,910 |
$604K |
| 2024 |
8,089 |
$437K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
|
974 |
711 |
$465K |
| D0120 |
|
14,760 |
14,370 |
$342K |
| D1120 |
|
10,691 |
10,400 |
$336K |
| D1208 |
|
16,277 |
15,840 |
$311K |
| D2391 |
|
5,102 |
2,517 |
$293K |
| D1110 |
|
6,017 |
5,847 |
$249K |
| D2392 |
|
3,063 |
1,750 |
$207K |
| D0274 |
|
7,172 |
6,962 |
$182K |
| D3330 |
|
301 |
269 |
$145K |
| D2930 |
|
1,315 |
730 |
$138K |
| D0330 |
|
4,047 |
3,915 |
$132K |
| D7140 |
|
2,095 |
849 |
$125K |
| D7210 |
|
1,062 |
309 |
$120K |
| D9230 |
|
3,685 |
3,346 |
$102K |
| D0150 |
|
3,524 |
3,385 |
$93K |
| D0272 |
|
5,342 |
5,207 |
$89K |
| D0140 |
|
2,058 |
1,995 |
$43K |
| D0220 |
|
3,357 |
3,231 |
$39K |
| D2950 |
|
340 |
279 |
$36K |
| D2393 |
|
219 |
125 |
$18K |
| D1206 |
|
244 |
231 |
$5K |
| D3220 |
|
46 |
28 |
$3K |
| D4355 |
|
66 |
61 |
$3K |
| D2931 |
|
18 |
15 |
$3K |
| D1351 |
|
48 |
12 |
$1K |
| D0230 |
|
121 |
76 |
$809.15 |
| D0145 |
|
32 |
32 |
$658.80 |
| D1330 |
|
196 |
179 |
$0.00 |
| D1999 |
|
51 |
44 |
$0.00 |