PROFESSIONAL DENTAL ALLIANCE OF FLORIDA, PLLC
NPI: 1750938072
· PORT ST LUCIE, FL 34983
· 1223G0001X
$143K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
650 |
$3K |
| 2024 |
15,905 |
$141K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
|
2,232 |
1,893 |
$17K |
| D1120 |
|
1,414 |
1,186 |
$17K |
| D0120 |
|
1,996 |
1,693 |
$17K |
| D1110 |
|
915 |
785 |
$16K |
| D1351 |
|
1,779 |
386 |
$14K |
| D2392 |
|
432 |
243 |
$13K |
| D0240 |
|
848 |
543 |
$11K |
| D0330 |
|
402 |
353 |
$10K |
| D0150 |
|
240 |
199 |
$6K |
| D0274 |
|
956 |
811 |
$5K |
| D1330 |
|
2,240 |
1,898 |
$4K |
| D0272 |
|
672 |
562 |
$3K |
| D2391 |
|
117 |
75 |
$2K |
| D9230 |
|
114 |
101 |
$2K |
| D0220 |
|
1,106 |
929 |
$2K |
| D0230 |
|
1,008 |
845 |
$2K |
| D7140 |
|
68 |
41 |
$1K |
| D0140 |
|
16 |
16 |
$78.88 |