PEDIATRIC AND ADOLESCENT DENTISTRY
NPI: 1699747378
· MANKATO, MN 56001
· 1223P0221X
$5.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20,153 |
$260K |
| 2019 |
18,872 |
$1.11M |
| 2020 |
16,394 |
$942K |
| 2021 |
16,472 |
$1.09M |
| 2022 |
12,675 |
$860K |
| 2023 |
8,983 |
$495K |
| 2024 |
7,403 |
$358K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
6,257 |
1,757 |
$1.01M |
| D0120 |
|
15,660 |
15,288 |
$610K |
| D1206 |
|
19,379 |
18,969 |
$601K |
| D1120 |
|
13,568 |
13,257 |
$598K |
| D3220 |
|
2,802 |
1,163 |
$248K |
| D7140 |
|
2,508 |
1,180 |
$241K |
| D2150 |
|
2,604 |
968 |
$232K |
| D1110 |
|
3,159 |
3,088 |
$211K |
| D0272 |
|
5,417 |
5,278 |
$188K |
| D2934 |
|
724 |
227 |
$186K |
| D9230 |
|
5,614 |
5,279 |
$123K |
| D1351 |
|
3,037 |
807 |
$115K |
| D2392 |
|
1,004 |
506 |
$107K |
| D2391 |
|
1,149 |
602 |
$90K |
| D9310 |
|
1,414 |
1,395 |
$88K |
| D0240 |
|
4,108 |
2,132 |
$80K |
| D2140 |
|
845 |
411 |
$65K |
| D0230 |
|
3,809 |
1,320 |
$54K |
| D0150 |
|
1,520 |
1,480 |
$52K |
| D0145 |
|
1,041 |
1,027 |
$47K |
| D0274 |
|
1,055 |
1,024 |
$44K |
| D0220 |
|
2,057 |
2,001 |
$41K |
| D9420 |
|
1,308 |
1,219 |
$40K |
| D2330 |
|
168 |
94 |
$17K |
| D0140 |
|
342 |
311 |
$14K |
| D0330 |
|
162 |
162 |
$10K |
| D2933 |
|
229 |
66 |
$7K |
| D9995 |
|
12 |
12 |
$0.00 |