CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC
NPI: 1699090100
· FORT WORTH, TX 76109
· 1223P0221X
$4.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,894 |
$246K |
| 2021 |
22,776 |
$1.31M |
| 2022 |
20,491 |
$1.21M |
| 2023 |
15,989 |
$960K |
| 2024 |
16,424 |
$916K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
15,327 |
2,667 |
$2.16M |
| D3220 |
|
11,048 |
2,518 |
$877K |
| D2934 |
|
2,523 |
717 |
$359K |
| D2391 |
|
2,392 |
960 |
$148K |
| D2392 |
|
1,437 |
685 |
$133K |
| D7140 |
|
2,295 |
1,003 |
$133K |
| D1351 |
|
4,031 |
1,334 |
$105K |
| D0150 |
|
3,061 |
2,998 |
$99K |
| D0145 |
|
600 |
598 |
$84K |
| D0272 |
|
3,671 |
3,577 |
$80K |
| D1120 |
|
2,128 |
2,090 |
$74K |
| D9420 |
|
1,913 |
1,879 |
$66K |
| D0230 |
|
5,151 |
3,408 |
$52K |
| D0120 |
|
1,673 |
1,653 |
$46K |
| D0220 |
|
3,937 |
3,816 |
$46K |
| D9230 |
|
1,769 |
1,648 |
$44K |
| D1208 |
|
2,284 |
2,243 |
$32K |
| D0350 |
|
2,629 |
2,514 |
$26K |
| D0160 |
|
1,568 |
1,541 |
$23K |
| D0140 |
|
1,030 |
1,018 |
$18K |
| D1510 |
|
124 |
85 |
$17K |
| D1330 |
|
942 |
927 |
$10K |
| D0330 |
|
113 |
108 |
$6K |
| D2330 |
|
36 |
24 |
$3K |
| D2150 |
|
19 |
12 |
$1K |
| D2140 |
|
30 |
12 |
$831.68 |
| D0210 |
|
14 |
12 |
$693.82 |
| D7111 |
|
40 |
24 |
$421.72 |
| D0603 |
|
7,789 |
7,253 |
$0.00 |