CHILDREN'S DENTAL CENTER S.C.
NPI: 1730339367
· OSHKOSH, WI 54902
· 261QD0000X
$219K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,118 |
$71K |
| 2019 |
4,183 |
$77K |
| 2020 |
3,108 |
$57K |
| 2021 |
773 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,840 |
2,788 |
$38K |
| D1206 |
|
3,120 |
3,072 |
$36K |
| D1120 |
|
1,723 |
1,701 |
$36K |
| D9230 |
|
1,147 |
1,113 |
$35K |
| D1110 |
|
1,201 |
1,177 |
$29K |
| D0272 |
|
1,399 |
1,376 |
$17K |
| D2150 |
|
377 |
253 |
$14K |
| D2930 |
|
78 |
49 |
$6K |
| D0150 |
|
143 |
140 |
$3K |
| D7111 |
|
50 |
27 |
$2K |
| D2392 |
|
19 |
17 |
$848.30 |
| D2391 |
|
19 |
13 |
$690.82 |
| D0210 |
|
13 |
13 |
$480.85 |
| D0220 |
|
53 |
53 |
$438.45 |