SOUTHERN OAKS DENTAL CLINIC
NPI: 1720413271
· BEAUMONT, TX 77702
· 1223G0001X
$1.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,246 |
$28K |
| 2021 |
10,565 |
$232K |
| 2022 |
13,865 |
$299K |
| 2023 |
13,489 |
$284K |
| 2024 |
9,761 |
$192K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
6,230 |
1,234 |
$154K |
| D0145 |
|
1,129 |
1,116 |
$154K |
| D1120 |
|
4,150 |
3,960 |
$139K |
| D0120 |
|
4,926 |
4,665 |
$130K |
| D1110 |
|
1,409 |
1,323 |
$67K |
| D0220 |
|
5,873 |
5,506 |
$65K |
| D0272 |
|
3,001 |
2,860 |
$64K |
| D1208 |
|
4,214 |
4,000 |
$56K |
| D0230 |
|
5,468 |
5,127 |
$55K |
| D0274 |
|
1,839 |
1,733 |
$55K |
| D9230 |
|
1,060 |
932 |
$26K |
| D1206 |
|
1,443 |
1,364 |
$19K |
| D0150 |
|
423 |
401 |
$13K |
| D2930 |
|
91 |
40 |
$12K |
| D2391 |
|
145 |
97 |
$11K |
| D2392 |
|
124 |
67 |
$10K |
| D2393 |
|
22 |
12 |
$2K |
| D0330 |
|
109 |
100 |
$2K |
| D7140 |
|
19 |
12 |
$827.85 |
| D0140 |
|
41 |
41 |
$724.90 |
| D0603 |
|
6,833 |
6,660 |
$0.00 |
| D0602 |
|
248 |
247 |
$0.00 |
| D9986 |
|
14 |
14 |
$0.00 |
| D1999 |
|
115 |
109 |
$0.00 |