ROSE PARK PEDIATRIC DENTISTRY, PC
NPI: 1831338623
· SALT LAKE CITY, UT 84116
· 1223P0221X
$1.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
265 |
$372.17 |
| 2019 |
2,385 |
$57K |
| 2020 |
2,691 |
$79K |
| 2021 |
12,798 |
$428K |
| 2022 |
18,640 |
$601K |
| 2023 |
14,651 |
$475K |
| 2024 |
3,808 |
$133K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
10,225 |
10,115 |
$851K |
| D1351 |
|
3,779 |
854 |
$132K |
| D0220 |
|
1,686 |
1,654 |
$129K |
| D1120 |
|
10,226 |
10,094 |
$119K |
| D0272 |
|
8,536 |
8,450 |
$103K |
| D2392 |
|
1,271 |
716 |
$84K |
| D0150 |
|
751 |
741 |
$70K |
| D1206 |
|
10,881 |
10,738 |
$64K |
| D2391 |
|
740 |
475 |
$38K |
| D2150 |
|
1,048 |
617 |
$30K |
| D7140 |
|
683 |
376 |
$28K |
| D0330 |
|
1,285 |
1,273 |
$25K |
| D2140 |
|
801 |
496 |
$24K |
| D1110 |
|
855 |
849 |
$21K |
| D2930 |
|
383 |
121 |
$18K |
| D0274 |
|
818 |
818 |
$18K |
| D0140 |
|
228 |
221 |
$9K |
| D1208 |
|
322 |
320 |
$3K |
| D9420 |
|
50 |
50 |
$3K |
| D0230 |
|
670 |
664 |
$2K |