ELSA DENTAL AND ORTHODONTICS, PLLC
NPI: 1831632173
· FORT WORTH, TX 76102
· 1223G0001X
$7.40M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$0.00 |
| 2019 |
162 |
$1K |
| 2020 |
6,166 |
$185K |
| 2021 |
47,500 |
$1.48M |
| 2022 |
53,363 |
$1.81M |
| 2023 |
59,418 |
$2.00M |
| 2024 |
55,499 |
$1.92M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
7,135 |
1,471 |
$1.04M |
| D2392 |
|
9,827 |
4,546 |
$948K |
| D0145 |
|
4,785 |
4,700 |
$660K |
| D0120 |
|
18,970 |
18,667 |
$531K |
| D2391 |
|
6,863 |
3,691 |
$512K |
| D1120 |
|
13,358 |
13,191 |
$477K |
| D1351 |
|
14,564 |
4,162 |
$383K |
| D1110 |
|
6,596 |
6,483 |
$349K |
| D0230 |
|
32,344 |
19,538 |
$326K |
| D7240 |
|
1,124 |
365 |
$316K |
| D1208 |
|
20,480 |
20,157 |
$292K |
| D9248 |
|
1,991 |
1,963 |
$233K |
| D0274 |
|
7,452 |
7,333 |
$233K |
| D0220 |
|
20,838 |
20,442 |
$222K |
| D9230 |
|
7,017 |
6,671 |
$182K |
| D0272 |
|
7,673 |
7,580 |
$158K |
| D2393 |
|
959 |
637 |
$99K |
| D0210 |
|
1,500 |
1,495 |
$95K |
| D3220 |
|
1,130 |
406 |
$93K |
| D0330 |
|
2,796 |
2,764 |
$65K |
| D0150 |
|
1,636 |
1,599 |
$54K |
| D0160 |
|
2,987 |
2,884 |
$43K |
| D2934 |
|
246 |
85 |
$35K |
| D1330 |
|
2,163 |
2,130 |
$23K |
| D0140 |
|
696 |
677 |
$11K |
| D9223 |
|
212 |
94 |
$10K |
| D9222 |
|
105 |
97 |
$7K |
| D0350 |
|
223 |
223 |
$3K |
| D7140 |
|
43 |
28 |
$3K |
| D9612 |
|
81 |
70 |
$2K |
| D2330 |
|
22 |
13 |
$2K |
| D9310 |
|
13 |
13 |
$174.96 |
| D7111 |
|
15 |
12 |
$160.58 |
| D0270 |
|
12 |
12 |
$53.90 |
| D0603 |
|
26,266 |
25,800 |
$0.08 |