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PEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
PEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
NPI: 1669582813
· KOKOMO, IN 46902
· 1223P0221X
$3.38M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,155 |
$47K |
| 2019 |
13,836 |
$451K |
| 2020 |
13,607 |
$438K |
| 2021 |
14,813 |
$483K |
| 2022 |
16,156 |
$568K |
| 2023 |
17,988 |
$657K |
| 2024 |
19,043 |
$735K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
4,810 |
1,541 |
$534K |
| D1351 |
|
19,515 |
4,728 |
$445K |
| D1120 |
|
14,290 |
13,214 |
$397K |
| D1206 |
|
18,975 |
17,577 |
$344K |
| D0120 |
|
16,675 |
15,462 |
$312K |
| D7140 |
|
4,385 |
1,992 |
$268K |
| D1110 |
|
5,115 |
4,782 |
$199K |
| D0272 |
|
6,644 |
6,084 |
$121K |
| D2392 |
|
2,305 |
1,413 |
$119K |
| D0210 |
|
2,530 |
2,397 |
$100K |
| D0330 |
|
2,655 |
2,417 |
$93K |
| D1354 |
|
1,099 |
463 |
$92K |
| D0150 |
|
2,614 |
2,435 |
$79K |
| D9230 |
|
3,048 |
2,762 |
$73K |
| D9248 |
|
1,792 |
1,475 |
$63K |
| D0274 |
|
2,073 |
1,942 |
$55K |
| D2393 |
|
573 |
382 |
$35K |
| D0140 |
|
736 |
706 |
$23K |
| D2332 |
|
105 |
52 |
$8K |
| D1516 |
|
22 |
17 |
$5K |
| D1517 |
|
18 |
14 |
$5K |
| D0220 |
|
422 |
360 |
$4K |
| D3220 |
|
51 |
25 |
$4K |
| D2391 |
|
93 |
67 |
$2K |
| D1515 |
|
53 |
40 |
$0.00 |