GRUPO DENTAL PEDIATRICO SAN JUAN CSP
NPI: 1700299104
· SAN JUAN, PR 00918
· 122300000X
$715K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,857 |
$69K |
| 2019 |
5,508 |
$81K |
| 2020 |
2,925 |
$52K |
| 2021 |
3,211 |
$51K |
| 2022 |
7,594 |
$137K |
| 2023 |
6,367 |
$108K |
| 2024 |
11,982 |
$216K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
8,703 |
7,051 |
$130K |
| D1120 |
|
6,723 |
5,452 |
$128K |
| D1208 |
|
9,034 |
7,305 |
$127K |
| D0120 |
|
6,619 |
5,390 |
$94K |
| D0272 |
|
3,774 |
3,091 |
$55K |
| D1351 |
|
2,881 |
462 |
$42K |
| D1110 |
|
1,304 |
1,046 |
$38K |
| D7140 |
|
805 |
474 |
$30K |
| D2150 |
|
800 |
456 |
$29K |
| D0150 |
|
1,312 |
1,035 |
$27K |
| D0330 |
|
193 |
119 |
$7K |
| D2140 |
|
215 |
148 |
$6K |
| D0220 |
|
81 |
63 |
$626.18 |