MARLBOROUGH VILLAGE PEDIATRIC DENTAL
NPI: 1710473731
· UPPER MARLBORO, MD 20772
· 1223P0221X
$516K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$618.00 |
| 2019 |
426 |
$12K |
| 2020 |
947 |
$27K |
| 2021 |
2,018 |
$56K |
| 2022 |
2,795 |
$86K |
| 2023 |
4,183 |
$142K |
| 2024 |
5,625 |
$192K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
3,673 |
3,633 |
$167K |
| D0120 |
|
2,976 |
2,946 |
$91K |
| D1206 |
|
2,676 |
2,653 |
$68K |
| D0150 |
|
804 |
798 |
$43K |
| D0272 |
|
2,144 |
2,121 |
$34K |
| D2392 |
|
243 |
163 |
$32K |
| D1208 |
|
1,218 |
1,199 |
$28K |
| D9230 |
|
855 |
785 |
$16K |
| D1351 |
|
213 |
39 |
$8K |
| D1110 |
|
106 |
105 |
$7K |
| D0140 |
|
126 |
124 |
$6K |
| D1330 |
|
734 |
732 |
$5K |
| D0274 |
|
150 |
150 |
$4K |
| D7140 |
|
16 |
13 |
$2K |
| D0330 |
|
42 |
42 |
$2K |
| D2391 |
|
17 |
14 |
$2K |
| D3120 |
|
13 |
12 |
$455.00 |