PUEBLO DE NINOS DENTAL, PC
NPI: 1720305105
· SANTA FE, NM 87507
· 1223P0221X
$1.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,091 |
$325K |
| 2019 |
8,784 |
$251K |
| 2020 |
7,905 |
$223K |
| 2021 |
6,874 |
$183K |
| 2022 |
1,575 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
7,991 |
7,991 |
$248K |
| D0120 |
|
7,582 |
7,581 |
$169K |
| D0274 |
|
4,039 |
4,039 |
$117K |
| D2392 |
|
1,345 |
905 |
$98K |
| D1206 |
|
4,301 |
4,301 |
$78K |
| D9230 |
|
2,060 |
1,985 |
$55K |
| D1208 |
|
2,867 |
2,867 |
$50K |
| D1351 |
|
2,105 |
916 |
$49K |
| D7140 |
|
653 |
394 |
$42K |
| D0140 |
|
1,034 |
1,017 |
$30K |
| D2391 |
|
466 |
364 |
$26K |
| D2930 |
|
209 |
129 |
$24K |
| D0272 |
|
821 |
821 |
$16K |
| D0150 |
|
394 |
394 |
$14K |
| D0230 |
|
146 |
119 |
$2K |
| D1110 |
|
54 |
54 |
$2K |
| D0220 |
|
162 |
161 |
$2K |