RODEO DENTAL MAIN STREET, PLLC
NPI: 1841427655
· FORT WORTH, TX 76106
· 1223G0001X
$9.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
451 |
$8K |
| 2019 |
879 |
$15K |
| 2020 |
8,855 |
$272K |
| 2021 |
76,845 |
$2.31M |
| 2022 |
78,789 |
$2.41M |
| 2023 |
80,637 |
$2.50M |
| 2024 |
67,668 |
$2.21M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
15,277 |
6,480 |
$1.44M |
| D2930 |
|
6,997 |
1,325 |
$984K |
| D1351 |
|
38,781 |
10,157 |
$965K |
| D2391 |
|
11,513 |
5,852 |
$851K |
| D0145 |
|
6,023 |
5,984 |
$837K |
| D0120 |
|
25,581 |
25,378 |
$711K |
| D1120 |
|
17,276 |
17,131 |
$608K |
| D1110 |
|
10,020 |
9,930 |
$523K |
| D0230 |
|
44,957 |
27,551 |
$482K |
| D1208 |
|
28,017 |
27,768 |
$396K |
| D0274 |
|
11,162 |
11,076 |
$364K |
| D0220 |
|
29,773 |
29,390 |
$347K |
| D0272 |
|
10,205 |
10,122 |
$225K |
| D9230 |
|
6,623 |
6,443 |
$174K |
| D3220 |
|
2,104 |
720 |
$168K |
| D9248 |
|
1,148 |
1,123 |
$125K |
| D2934 |
|
769 |
210 |
$107K |
| D0150 |
|
2,831 |
2,782 |
$95K |
| D2330 |
|
815 |
478 |
$59K |
| D0140 |
|
2,186 |
2,141 |
$38K |
| D9223 |
|
788 |
395 |
$36K |
| D0210 |
|
495 |
492 |
$32K |
| D0160 |
|
1,859 |
1,831 |
$27K |
| D9222 |
|
406 |
400 |
$26K |
| D0330 |
|
883 |
867 |
$25K |
| D3330 |
|
34 |
28 |
$19K |
| D7140 |
|
327 |
185 |
$19K |
| D1330 |
|
1,410 |
1,394 |
$16K |
| D7240 |
|
56 |
16 |
$14K |
| D2950 |
|
174 |
118 |
$7K |
| D9612 |
|
233 |
225 |
$6K |
| D2393 |
|
53 |
44 |
$5K |
| D0270 |
|
15 |
15 |
$68.60 |
| D3910 |
|
13 |
12 |
$35.84 |
| D0603 |
|
35,320 |
35,066 |
$0.00 |