BETHESDA PEDIATRIC DENTISTRY LLC
NPI: 1760858518
· BETHESDA, MD 20814
· 122300000X
$704K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,853 |
$165K |
| 2019 |
3,850 |
$133K |
| 2020 |
2,763 |
$76K |
| 2021 |
3,376 |
$121K |
| 2022 |
3,370 |
$79K |
| 2023 |
5,037 |
$108K |
| 2024 |
744 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,028 |
4,537 |
$197K |
| D0120 |
|
5,338 |
4,749 |
$141K |
| D2392 |
|
820 |
404 |
$99K |
| D1208 |
|
3,168 |
3,121 |
$72K |
| D1206 |
|
2,948 |
2,210 |
$56K |
| D0272 |
|
1,589 |
1,470 |
$22K |
| D1351 |
|
560 |
170 |
$19K |
| D2930 |
|
115 |
51 |
$18K |
| D9230 |
|
972 |
896 |
$17K |
| D0140 |
|
370 |
344 |
$16K |
| D2391 |
|
146 |
70 |
$14K |
| D1330 |
|
1,524 |
1,325 |
$8K |
| D0330 |
|
131 |
130 |
$5K |
| D9248 |
|
25 |
25 |
$5K |
| D2335 |
|
27 |
12 |
$4K |
| D1110 |
|
59 |
59 |
$4K |
| D2393 |
|
20 |
13 |
$3K |
| D0274 |
|
69 |
69 |
$2K |
| D0150 |
|
26 |
26 |
$1K |
| D7140 |
|
13 |
12 |
$1K |
| D0220 |
|
45 |
42 |
$447.30 |