ETOWN DENTISTRY DRE LLC
NPI: 1831962463
· ELIZABETHTOWN, KY 42701
· 1223P0221X
$690K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
21,532 |
$690K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,200 |
3,122 |
$189K |
| D0120 |
|
3,772 |
3,696 |
$102K |
| D1206 |
|
2,887 |
2,854 |
$54K |
| D9230 |
|
1,205 |
1,083 |
$46K |
| D2392 |
|
704 |
429 |
$46K |
| D1110 |
|
724 |
711 |
$42K |
| D2391 |
|
666 |
451 |
$35K |
| D0272 |
|
1,558 |
1,502 |
$33K |
| D1208 |
|
1,362 |
1,293 |
$25K |
| D0330 |
|
453 |
430 |
$23K |
| D0220 |
|
1,627 |
1,555 |
$19K |
| D0274 |
|
498 |
486 |
$17K |
| D0230 |
|
1,823 |
1,252 |
$15K |
| D2930 |
|
139 |
40 |
$14K |
| D7140 |
|
170 |
82 |
$11K |
| D0150 |
|
316 |
291 |
$10K |
| D1351 |
|
342 |
106 |
$8K |
| D0145 |
|
71 |
70 |
$2K |
| D9420 |
|
15 |
12 |
$851.76 |