PEDIATRIC DENTAL ASSOCIATES, LLC
NPI: 1700056124
· PELL CITY, AL 35125
· 1223P0221X
$5.50M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
21,216 |
$484K |
| 2019 |
21,403 |
$515K |
| 2020 |
31,118 |
$718K |
| 2021 |
34,556 |
$890K |
| 2022 |
40,480 |
$1.05M |
| 2023 |
36,563 |
$965K |
| 2024 |
32,484 |
$879K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
28,944 |
27,793 |
$805K |
| D2930 |
|
7,163 |
3,113 |
$698K |
| D0120 |
|
34,740 |
33,353 |
$643K |
| D1208 |
|
39,353 |
37,659 |
$564K |
| D1999 |
|
23,331 |
21,373 |
$442K |
| D0330 |
|
6,830 |
6,489 |
$306K |
| D0272 |
|
17,176 |
16,496 |
$294K |
| D1110 |
|
7,704 |
7,384 |
$278K |
| D2392 |
|
3,000 |
1,988 |
$227K |
| D9230 |
|
10,800 |
9,755 |
$224K |
| D2391 |
|
3,199 |
2,050 |
$194K |
| D1351 |
|
8,091 |
2,233 |
$189K |
| D7140 |
|
3,247 |
1,926 |
$175K |
| D0150 |
|
4,736 |
4,455 |
$117K |
| D0274 |
|
5,156 |
4,950 |
$115K |
| D0140 |
|
2,336 |
2,162 |
$60K |
| D0240 |
|
3,611 |
1,807 |
$57K |
| D0220 |
|
3,564 |
3,313 |
$37K |
| D1206 |
|
2,023 |
1,955 |
$29K |
| D0145 |
|
1,239 |
1,176 |
$28K |
| D0230 |
|
1,484 |
697 |
$14K |
| D1354 |
|
93 |
36 |
$2K |