SNOW PALMDALE FAMILY DENTISTRY PC
NPI: 1699397471
· PALMDALE, CA 93552
· 261QD0000X
$411K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
2,716 |
$81K |
| 2023 |
5,365 |
$154K |
| 2024 |
6,866 |
$176K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
1,193 |
1,184 |
$78K |
| D1120 |
|
1,071 |
1,065 |
$55K |
| D1110 |
|
550 |
550 |
$49K |
| D0210 |
|
835 |
831 |
$40K |
| D0120 |
|
566 |
565 |
$39K |
| D0350 |
|
3,884 |
1,079 |
$32K |
| D1208 |
|
1,729 |
1,713 |
$25K |
| D2392 |
|
332 |
196 |
$22K |
| D0274 |
|
911 |
905 |
$19K |
| D2391 |
|
358 |
190 |
$19K |
| D1351 |
|
490 |
119 |
$18K |
| D0230 |
|
2,902 |
1,289 |
$12K |
| D9430 |
|
70 |
66 |
$2K |
| D0220 |
|
56 |
55 |
$669.00 |