PRIME PEDIATRIC DENTISTRY
NPI: 1811405400
· FLORENCE, SC 29501
· 261QD0000X
$2.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,186 |
$354K |
| 2019 |
16,061 |
$864K |
| 2020 |
14,308 |
$673K |
| 2021 |
21,029 |
$822K |
| 2022 |
1,583 |
$139K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
6,409 |
2,152 |
$778K |
| D2934 |
|
2,321 |
547 |
$289K |
| D7140 |
|
2,480 |
1,323 |
$208K |
| D3220 |
|
2,362 |
1,134 |
$186K |
| D1120 |
|
5,234 |
5,234 |
$169K |
| D9248 |
|
2,271 |
2,168 |
$142K |
| D2392 |
|
1,222 |
815 |
$121K |
| D9230 |
|
3,120 |
2,969 |
$95K |
| D0140 |
|
2,504 |
2,487 |
$93K |
| D1206 |
|
5,973 |
5,973 |
$90K |
| D0272 |
|
4,595 |
4,595 |
$82K |
| D2391 |
|
1,034 |
733 |
$79K |
| D9420 |
|
888 |
888 |
$75K |
| D0120 |
|
3,418 |
3,418 |
$71K |
| D1351 |
|
2,139 |
586 |
$60K |
| D0220 |
|
4,721 |
4,684 |
$57K |
| D0150 |
|
1,248 |
1,248 |
$48K |
| D0230 |
|
4,726 |
3,927 |
$44K |
| D1110 |
|
902 |
902 |
$41K |
| D2330 |
|
500 |
238 |
$33K |
| D9920 |
|
390 |
388 |
$20K |
| D0330 |
|
391 |
391 |
$18K |
| D0274 |
|
668 |
668 |
$16K |
| D1510 |
|
95 |
82 |
$16K |
| D0145 |
|
452 |
452 |
$16K |
| D2932 |
|
44 |
12 |
$7K |
| D9992 |
|
35 |
35 |
$855.34 |
| D1208 |
|
25 |
25 |
$405.00 |