THE PEDIATRIC DENTAL STUDIO, LLC
NPI: 1699197574
· PEARL, MS 39208
· Dental Clinic/Center
$2.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,331 |
$26K |
| 2019 |
1,775 |
$31K |
| 2020 |
532 |
$16K |
| 2021 |
14,434 |
$391K |
| 2022 |
25,111 |
$595K |
| 2023 |
21,497 |
$570K |
| 2024 |
22,231 |
$601K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
16,160 |
2,731 |
$401K |
| D1120 |
|
9,977 |
8,904 |
$268K |
| D7140 |
|
2,961 |
870 |
$212K |
| D0120 |
|
8,373 |
7,429 |
$204K |
| D2930 |
|
1,816 |
255 |
$197K |
| D0230 |
|
21,229 |
4,946 |
$193K |
| D2392 |
|
1,647 |
868 |
$167K |
| D1206 |
|
7,158 |
6,426 |
$159K |
| D0210 |
|
1,498 |
1,318 |
$87K |
| D0220 |
|
5,999 |
5,328 |
$73K |
| D0140 |
|
1,646 |
1,387 |
$57K |
| D9230 |
|
2,062 |
1,796 |
$50K |
| D0150 |
|
1,268 |
1,170 |
$46K |
| D1208 |
|
2,763 |
2,440 |
$39K |
| D0274 |
|
1,013 |
916 |
$25K |
| D2391 |
|
271 |
162 |
$21K |
| D0330 |
|
384 |
355 |
$18K |
| D0272 |
|
559 |
526 |
$11K |
| D1110 |
|
79 |
72 |
$2K |
| D0145 |
|
28 |
27 |
$978.64 |
| D1310 |
|
20 |
19 |
$0.00 |