ADELBERG PEDIATRIC DENTAL PC
NPI: 1851579841
· SMITHTOWN, NY 11787
· 1223P0221X
$656K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,471 |
$40K |
| 2022 |
18,071 |
$487K |
| 2023 |
4,706 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,675 |
3,675 |
$128K |
| D0120 |
|
3,822 |
3,822 |
$90K |
| D2392 |
|
1,091 |
1,045 |
$72K |
| D1351 |
|
786 |
718 |
$65K |
| D1208 |
|
4,457 |
4,457 |
$51K |
| D1110 |
|
939 |
939 |
$44K |
| D2391 |
|
841 |
810 |
$36K |
| D2930 |
|
395 |
385 |
$34K |
| D0272 |
|
2,042 |
2,042 |
$28K |
| D7140 |
|
640 |
618 |
$27K |
| D0220 |
|
1,912 |
1,904 |
$22K |
| D0150 |
|
893 |
893 |
$21K |
| D0230 |
|
1,326 |
1,322 |
$11K |
| D0274 |
|
363 |
363 |
$8K |
| D9990 |
|
354 |
348 |
$8K |
| D0140 |
|
510 |
498 |
$6K |
| D1206 |
|
119 |
119 |
$3K |
| D0330 |
|
71 |
71 |
$2K |
| D3220 |
|
12 |
12 |
$616.36 |