PEARLY WHITES DENTAL HYGIENE, INC.
NPI: 1740392778
· RIO RANCHO, NM 87124
· 124Q00000X
$277K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,131 |
$185K |
| 2019 |
3,646 |
$92K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
581 |
360 |
$41K |
| D0150 |
|
1,200 |
1,198 |
$41K |
| D0274 |
|
1,246 |
1,242 |
$36K |
| D1120 |
|
1,109 |
1,107 |
$34K |
| D1208 |
|
1,530 |
1,529 |
$27K |
| D1110 |
|
568 |
567 |
$25K |
| D0220 |
|
1,816 |
1,789 |
$20K |
| D0230 |
|
1,484 |
1,462 |
$13K |
| D0120 |
|
555 |
554 |
$12K |
| D0140 |
|
408 |
392 |
$12K |
| D2393 |
|
81 |
55 |
$7K |
| D0210 |
|
68 |
67 |
$4K |
| D2391 |
|
55 |
36 |
$3K |
| D7140 |
|
24 |
13 |
$2K |
| D1206 |
|
35 |
35 |
$620.27 |
| D0272 |
|
17 |
17 |
$337.87 |