PEACH TREE DENTAL WEST MONROE, LLC
NPI: 1699314799
· WEST MONROE, LA 71291
· 261QD0000X
$616K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$428.03 |
| 2021 |
725 |
$23K |
| 2022 |
3,063 |
$100K |
| 2023 |
4,215 |
$156K |
| 2024 |
6,037 |
$337K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,484 |
825 |
$164K |
| D9230 |
|
1,593 |
1,311 |
$59K |
| D1110 |
|
1,063 |
1,022 |
$58K |
| D2393 |
|
281 |
145 |
$45K |
| D1120 |
|
1,142 |
1,065 |
$42K |
| D0150 |
|
951 |
900 |
$41K |
| D0330 |
|
568 |
544 |
$37K |
| D0120 |
|
1,162 |
1,089 |
$36K |
| D0272 |
|
1,213 |
1,151 |
$28K |
| D1208 |
|
1,247 |
1,184 |
$28K |
| D0220 |
|
1,524 |
1,424 |
$24K |
| D2391 |
|
270 |
185 |
$24K |
| D0230 |
|
1,292 |
1,066 |
$20K |
| D1206 |
|
178 |
158 |
$4K |
| D2931 |
|
25 |
13 |
$4K |
| D0140 |
|
62 |
59 |
$825.00 |