SCHWEPPE PEDIATRIC DENTAL
NPI: 1710545769
· SOUTH OGDEN, UT 84403
· 1223P0221X
$913K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
745 |
$21K |
| 2020 |
1,489 |
$39K |
| 2021 |
6,843 |
$232K |
| 2022 |
9,271 |
$276K |
| 2023 |
5,791 |
$157K |
| 2024 |
6,054 |
$189K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
4,228 |
4,200 |
$284K |
| D1120 |
|
5,103 |
5,071 |
$134K |
| D0150 |
|
758 |
752 |
$77K |
| D0272 |
|
3,131 |
3,098 |
$63K |
| D2930 |
|
665 |
245 |
$53K |
| D1351 |
|
1,200 |
319 |
$47K |
| D0220 |
|
3,889 |
3,827 |
$45K |
| D1206 |
|
5,200 |
5,166 |
$42K |
| D2392 |
|
443 |
255 |
$41K |
| D2150 |
|
578 |
302 |
$39K |
| D0230 |
|
3,682 |
3,590 |
$21K |
| D2140 |
|
329 |
211 |
$20K |
| D2391 |
|
273 |
165 |
$20K |
| D0274 |
|
335 |
333 |
$10K |
| D0140 |
|
143 |
143 |
$7K |
| D7140 |
|
133 |
72 |
$7K |
| D9420 |
|
12 |
12 |
$3K |
| D1110 |
|
15 |
14 |
$744.08 |
| D1999 |
|
53 |
52 |
$562.08 |
| D3220 |
|
23 |
13 |
$0.00 |