CLEAN DENTAL OF MESQUITE, P.C.
NPI: 1669777686
· MESQUITE, TX 75150
· 1223G0001X
$824K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,028 |
$23K |
| 2021 |
8,426 |
$215K |
| 2022 |
8,724 |
$263K |
| 2023 |
7,353 |
$233K |
| 2024 |
3,759 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,796 |
822 |
$178K |
| D0120 |
|
3,155 |
3,141 |
$90K |
| D1351 |
|
3,336 |
772 |
$89K |
| D1120 |
|
2,090 |
2,084 |
$75K |
| D1110 |
|
1,037 |
1,029 |
$56K |
| D0145 |
|
366 |
366 |
$51K |
| D1208 |
|
3,452 |
3,435 |
$50K |
| D2391 |
|
645 |
344 |
$49K |
| D0274 |
|
1,209 |
1,197 |
$41K |
| D0220 |
|
2,961 |
2,941 |
$37K |
| D0230 |
|
3,224 |
2,784 |
$37K |
| D9230 |
|
1,085 |
1,033 |
$29K |
| D0272 |
|
832 |
829 |
$19K |
| D0210 |
|
172 |
172 |
$12K |
| D2393 |
|
113 |
67 |
$11K |
| D0150 |
|
13 |
13 |
$464.80 |
| D0603 |
|
3,384 |
3,368 |
$0.00 |
| D0602 |
|
287 |
287 |
$0.00 |
| D0601 |
|
133 |
133 |
$0.00 |