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MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF LAKEWOOD RANCH PLL
MAIN STREET CHILDRENS DENTISTRY AND ORTHODONTICS OF LAKEWOOD RANCH PLL
NPI: 1790273159
· BRADENTON, FL 34202
· 1223X0400X
$360K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$60.00 |
| 2021 |
1,851 |
$40K |
| 2022 |
16,627 |
$320K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
1,222 |
1,210 |
$87K |
| D3220 |
|
234 |
159 |
$68K |
| D0150 |
|
837 |
824 |
$55K |
| D0230 |
|
4,429 |
1,621 |
$49K |
| D2392 |
|
691 |
369 |
$47K |
| D2930 |
|
490 |
273 |
$14K |
| D7140 |
|
409 |
276 |
$12K |
| D0210 |
|
74 |
74 |
$8K |
| D0330 |
|
77 |
77 |
$5K |
| D0140 |
|
84 |
84 |
$3K |
| D1110 |
|
26 |
26 |
$2K |
| D1120 |
|
1,998 |
1,972 |
$2K |
| D0999 |
|
105 |
105 |
$2K |
| D1351 |
|
784 |
276 |
$2K |
| D9230 |
|
721 |
702 |
$1K |
| D9999 |
|
38 |
38 |
$760.00 |
| D0220 |
|
1,832 |
1,776 |
$137.68 |
| D1206 |
|
1,792 |
1,772 |
$115.45 |
| D0272 |
|
317 |
314 |
$106.00 |
| D1330 |
|
2,022 |
2,000 |
$79.00 |
| D0274 |
|
107 |
105 |
$28.00 |
| D1208 |
|
239 |
237 |
$0.00 |