SIMPLY DENTAL OF WORCESTER SOUTH PLLC
NPI: 1760049761
· WORCESTER, MA 01604
· 1223G0001X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
134 |
$4K |
| 2020 |
1,299 |
$31K |
| 2021 |
3,561 |
$308K |
| 2022 |
2,282 |
$201K |
| 2023 |
2,616 |
$171K |
| 2024 |
4,774 |
$571K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
1,786 |
514 |
$569K |
| D9223 |
|
1,566 |
706 |
$142K |
| D7210 |
|
739 |
164 |
$103K |
| D9222 |
|
763 |
705 |
$70K |
| D1110 |
|
1,064 |
1,013 |
$68K |
| D2392 |
|
467 |
176 |
$51K |
| D1120 |
|
1,081 |
1,030 |
$51K |
| D0140 |
|
1,096 |
1,011 |
$43K |
| D0120 |
|
1,560 |
1,488 |
$42K |
| D1206 |
|
1,558 |
1,486 |
$39K |
| D7230 |
|
140 |
67 |
$32K |
| D0274 |
|
635 |
603 |
$26K |
| D0150 |
|
304 |
283 |
$17K |
| D0330 |
|
231 |
221 |
$17K |
| D1208 |
|
457 |
430 |
$12K |
| D1351 |
|
71 |
14 |
$3K |
| D2150 |
|
26 |
12 |
$2K |
| D0272 |
|
15 |
14 |
$448.00 |
| D0220 |
|
16 |
12 |
$252.00 |
| D1999 |
|
1,091 |
899 |
$0.00 |