PEDIATRIC DENTAL SERVICES
NPI: 1669759726
· PLANO, TX 75025
· 1223P0221X
$962K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
819 |
$13K |
| 2021 |
7,851 |
$151K |
| 2022 |
13,304 |
$352K |
| 2023 |
12,433 |
$253K |
| 2024 |
9,909 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
6,227 |
964 |
$165K |
| D1120 |
|
3,746 |
3,642 |
$131K |
| D0120 |
|
3,895 |
3,786 |
$107K |
| D0145 |
|
764 |
751 |
$106K |
| D0230 |
|
9,310 |
3,820 |
$98K |
| D2392 |
|
681 |
276 |
$65K |
| D0220 |
|
4,255 |
4,100 |
$50K |
| D1206 |
|
2,922 |
2,853 |
$41K |
| D0272 |
|
1,649 |
1,609 |
$37K |
| D1110 |
|
717 |
692 |
$36K |
| D0210 |
|
556 |
536 |
$36K |
| D1208 |
|
1,802 |
1,740 |
$25K |
| D0274 |
|
699 |
674 |
$22K |
| D2930 |
|
107 |
44 |
$15K |
| D0150 |
|
452 |
438 |
$14K |
| D9230 |
|
532 |
505 |
$13K |
| D0140 |
|
75 |
74 |
$1K |
| D0603 |
|
5,780 |
5,644 |
$0.00 |
| D0602 |
|
116 |
113 |
$0.00 |
| D0601 |
|
31 |
29 |
$0.00 |