COMMONWEALTH PEDIATRIC DENTAL SPECIALISTS
NPI: 1679978795
· SANDSTON, VA 23150
· Dental Clinic/Center
· NPI assigned 10/31/2014
$1.57M
Total Medicaid Paid
Provider Details
| Authorized Official | PHELPS, JOY (PEDIATRIC DENTIST/OWNER) |
| NPI Enumeration Date | 10/31/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,985 |
$202K |
| 2019 |
7,897 |
$213K |
| 2020 |
7,130 |
$233K |
| 2021 |
10,265 |
$328K |
| 2022 |
10,077 |
$377K |
| 2023 |
11,057 |
$215K |
| 2024 |
6,126 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
12,742 |
12,613 |
$352K |
| D2930 |
|
2,681 |
629 |
$350K |
| D1206 |
|
14,162 |
14,021 |
$244K |
| D0120 |
|
12,363 |
12,233 |
$201K |
| D0272 |
|
5,515 |
5,474 |
$94K |
| D9230 |
|
1,964 |
1,905 |
$57K |
| D1110 |
|
1,488 |
1,483 |
$55K |
| D0150 |
|
1,838 |
1,829 |
$53K |
| D2392 |
|
689 |
423 |
$52K |
| D0240 |
|
2,791 |
1,530 |
$28K |
| D7140 |
|
262 |
129 |
$20K |
| D1351 |
|
643 |
210 |
$18K |
| D0330 |
|
394 |
394 |
$11K |
| D0220 |
|
1,013 |
997 |
$10K |
| D0140 |
|
249 |
241 |
$6K |
| D0230 |
|
404 |
254 |
$4K |
| D2391 |
|
58 |
46 |
$4K |
| D9630 |
|
130 |
130 |
$3K |
| D9310 |
|
31 |
31 |
$3K |
| D3220 |
|
22 |
13 |
$2K |
| D0274 |
|
98 |
98 |
$861.12 |