CARMICHAEL PEDIATRIC DENTISTRY
NPI: 1780955716
· GILBERT, AZ 85297
· 1223P0221X
$421K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,231 |
$187K |
| 2019 |
9,346 |
$210K |
| 2020 |
1,735 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,067 |
2,948 |
$99K |
| D2392 |
|
821 |
359 |
$58K |
| D1206 |
|
3,349 |
3,221 |
$54K |
| D0120 |
|
2,432 |
2,361 |
$53K |
| D0272 |
|
1,985 |
1,896 |
$33K |
| D0150 |
|
710 |
663 |
$25K |
| D0240 |
|
1,244 |
857 |
$18K |
| D0220 |
|
1,675 |
1,556 |
$16K |
| D0230 |
|
1,701 |
1,421 |
$14K |
| D2930 |
|
128 |
39 |
$10K |
| D9230 |
|
492 |
438 |
$8K |
| D2391 |
|
133 |
70 |
$8K |
| D0274 |
|
354 |
334 |
$8K |
| D0330 |
|
307 |
257 |
$8K |
| D1110 |
|
181 |
166 |
$6K |
| D0140 |
|
94 |
91 |
$3K |
| D1208 |
|
50 |
44 |
$838.64 |
| D0145 |
|
29 |
27 |
$593.16 |
| D1330 |
|
560 |
537 |
$52.40 |