RIO GRANDE CITY PEDIATRIC DENTISTRY PLLC
NPI: 1679817183
· RIO GRANDE CITY, TX 78582
· 1223P0221X
$2.87M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
64 |
$567.18 |
| 2020 |
3,461 |
$97K |
| 2021 |
22,672 |
$756K |
| 2022 |
22,612 |
$739K |
| 2023 |
19,910 |
$643K |
| 2024 |
18,241 |
$631K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
4,421 |
908 |
$620K |
| D2392 |
|
4,054 |
1,481 |
$402K |
| D0145 |
|
1,879 |
1,848 |
$258K |
| D1351 |
|
8,126 |
2,276 |
$219K |
| D1120 |
|
5,961 |
5,871 |
$212K |
| D0120 |
|
6,198 |
6,083 |
$174K |
| D1208 |
|
7,906 |
7,764 |
$113K |
| D0230 |
|
10,380 |
7,843 |
$108K |
| D0272 |
|
4,996 |
4,883 |
$104K |
| D1110 |
|
1,947 |
1,900 |
$103K |
| D0220 |
|
8,410 |
8,155 |
$95K |
| D9248 |
|
875 |
825 |
$93K |
| D2391 |
|
1,006 |
509 |
$78K |
| D0150 |
|
1,895 |
1,836 |
$61K |
| D0274 |
|
1,964 |
1,912 |
$60K |
| D9230 |
|
1,526 |
1,436 |
$39K |
| D3220 |
|
333 |
120 |
$28K |
| D0210 |
|
385 |
385 |
$23K |
| D2393 |
|
223 |
113 |
$22K |
| D0330 |
|
1,610 |
1,575 |
$21K |
| D0350 |
|
1,533 |
1,461 |
$18K |
| D1330 |
|
969 |
919 |
$10K |
| D0140 |
|
361 |
342 |
$6K |
| D3120 |
|
41 |
28 |
$143.35 |
| D0603 |
|
9,431 |
9,222 |
$0.00 |
| D0601 |
|
100 |
95 |
$0.00 |
| D0602 |
|
430 |
409 |
$0.00 |