EASTSIDE PEDIATRIC DENTISTRY PA
NPI: 1841263845
· GREENVILLE, SC 29615
· 1223P0221X
$9.99M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41,851 |
$1.60M |
| 2019 |
41,794 |
$1.55M |
| 2020 |
38,829 |
$1.45M |
| 2021 |
39,539 |
$1.43M |
| 2022 |
37,682 |
$1.33M |
| 2023 |
31,987 |
$1.08M |
| 2024 |
40,021 |
$1.55M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
11,490 |
7,320 |
$1.17M |
| D1120 |
|
29,733 |
29,733 |
$1.04M |
| D7140 |
|
10,256 |
5,166 |
$926K |
| D0120 |
|
38,526 |
38,526 |
$899K |
| D9248 |
|
10,733 |
10,338 |
$747K |
| D2391 |
|
8,862 |
6,597 |
$718K |
| D1110 |
|
14,279 |
14,279 |
$714K |
| D1206 |
|
43,469 |
43,469 |
$710K |
| D9230 |
|
17,709 |
16,953 |
$567K |
| D2930 |
|
2,988 |
2,214 |
$370K |
| D0274 |
|
13,416 |
13,416 |
$365K |
| D0272 |
|
18,626 |
18,626 |
$347K |
| D0330 |
|
5,742 |
5,741 |
$263K |
| D1351 |
|
6,260 |
1,624 |
$186K |
| D0220 |
|
13,094 |
12,853 |
$170K |
| D0230 |
|
15,348 |
7,150 |
$160K |
| D0150 |
|
3,384 |
3,384 |
$139K |
| D2393 |
|
1,007 |
755 |
$125K |
| D0145 |
|
2,354 |
2,354 |
$101K |
| D0140 |
|
2,145 |
2,137 |
$82K |
| D7111 |
|
868 |
512 |
$57K |
| D2332 |
|
532 |
368 |
$56K |
| D1510 |
|
277 |
259 |
$47K |
| D2330 |
|
386 |
291 |
$25K |
| D3220 |
|
178 |
134 |
$14K |
| D0240 |
|
41 |
25 |
$591.95 |