PEDIATRIC DENTAL ASSOC P.C.
NPI: 1851329510
· MANCHESTER, CT 06042
· 1223P0221X
$703K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,635 |
$106K |
| 2019 |
3,684 |
$111K |
| 2020 |
2,391 |
$74K |
| 2021 |
3,204 |
$97K |
| 2022 |
3,747 |
$109K |
| 2023 |
3,587 |
$109K |
| 2024 |
3,155 |
$98K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
7,114 |
6,849 |
$279K |
| D0120 |
|
7,725 |
7,330 |
$215K |
| D1208 |
|
7,841 |
7,442 |
$181K |
| D8670 |
|
193 |
193 |
$15K |
| D0272 |
|
325 |
314 |
$8K |
| D0274 |
|
70 |
69 |
$3K |
| D1351 |
|
34 |
13 |
$1K |
| D1110 |
|
101 |
89 |
$798.72 |