PEDIATRIC DENTAL GROUP II, LLC
NPI: 1760864235
· TULSA, OK 74133
· 1223P0221X
$8.51M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,966 |
$595K |
| 2019 |
18,746 |
$672K |
| 2020 |
18,642 |
$793K |
| 2021 |
31,305 |
$1.36M |
| 2022 |
41,883 |
$1.73M |
| 2023 |
45,976 |
$1.80M |
| 2024 |
43,730 |
$1.56M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
12,769 |
5,774 |
$1.29M |
| D9248 |
|
8,752 |
8,115 |
$1.16M |
| D2930 |
|
8,569 |
2,816 |
$1.03M |
| D1120 |
|
24,653 |
24,111 |
$741K |
| D0120 |
|
25,088 |
24,618 |
$527K |
| D1206 |
|
21,840 |
21,180 |
$371K |
| D7140 |
|
5,118 |
3,055 |
$336K |
| D2391 |
|
5,308 |
2,771 |
$315K |
| D2393 |
|
2,156 |
1,284 |
$294K |
| D1110 |
|
5,859 |
5,724 |
$263K |
| D1351 |
|
10,283 |
3,638 |
$249K |
| D0220 |
|
14,559 |
14,086 |
$218K |
| D0330 |
|
4,490 |
4,365 |
$216K |
| D3220 |
|
2,308 |
1,035 |
$211K |
| D0272 |
|
10,307 |
10,132 |
$185K |
| D0140 |
|
4,379 |
4,290 |
$130K |
| D1208 |
|
8,276 |
8,276 |
$121K |
| D0150 |
|
3,947 |
3,798 |
$118K |
| D0230 |
|
11,764 |
10,081 |
$89K |
| D9230 |
|
3,334 |
3,166 |
$87K |
| D0274 |
|
2,760 |
2,703 |
$83K |
| D9223 |
|
225 |
225 |
$82K |
| D2934 |
|
485 |
148 |
$67K |
| D3120 |
|
1,868 |
1,200 |
$56K |
| D0603 |
|
4,969 |
4,790 |
$45K |
| D0601 |
|
4,503 |
4,405 |
$41K |
| D0602 |
|
4,430 |
4,309 |
$40K |
| D0145 |
|
1,096 |
1,035 |
$33K |
| D2330 |
|
533 |
289 |
$32K |
| D3330 |
|
64 |
59 |
$25K |
| D8080 |
|
13 |
13 |
$13K |
| D0240 |
|
618 |
324 |
$11K |
| D0350 |
|
281 |
281 |
$9K |
| D9310 |
|
146 |
146 |
$7K |
| D7111 |
|
115 |
76 |
$7K |
| D9610 |
|
225 |
225 |
$6K |
| D7210 |
|
50 |
37 |
$6K |
| D0340 |
|
26 |
26 |
$2K |
| D2950 |
|
14 |
13 |
$2K |
| D1510 |
|
12 |
12 |
$1K |
| D7510 |
|
13 |
12 |
$1K |
| D0210 |
|
43 |
23 |
$524.60 |