ROCKY TOP PEDIATRIC DENTISTRY, LLC
NPI: 1851756423
· KNOXVILLE, TN 37922
· 1223P0221X
$4.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,393 |
$479K |
| 2019 |
18,926 |
$562K |
| 2020 |
16,328 |
$464K |
| 2021 |
18,562 |
$606K |
| 2022 |
22,200 |
$708K |
| 2023 |
26,035 |
$843K |
| 2024 |
27,941 |
$948K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
24,323 |
23,747 |
$793K |
| D0120 |
|
24,086 |
23,519 |
$565K |
| D1206 |
|
27,192 |
26,583 |
$559K |
| D2930 |
|
4,420 |
2,979 |
$481K |
| D2391 |
|
5,995 |
4,873 |
$354K |
| D9230 |
|
10,801 |
10,070 |
$310K |
| D2392 |
|
3,227 |
2,639 |
$229K |
| D1110 |
|
4,810 |
4,702 |
$200K |
| D0272 |
|
11,260 |
10,975 |
$194K |
| D7140 |
|
3,123 |
2,038 |
$182K |
| D0330 |
|
4,131 |
4,037 |
$178K |
| D1351 |
|
5,488 |
1,661 |
$164K |
| D0150 |
|
5,141 |
5,029 |
$147K |
| D3220 |
|
1,122 |
793 |
$92K |
| D0220 |
|
3,642 |
3,522 |
$43K |
| D0140 |
|
1,609 |
1,551 |
$36K |
| D0274 |
|
1,127 |
1,113 |
$29K |
| D1354 |
|
1,876 |
500 |
$18K |
| D3240 |
|
254 |
148 |
$14K |
| D2330 |
|
183 |
122 |
$11K |
| D2332 |
|
89 |
63 |
$8K |
| D0145 |
|
121 |
114 |
$3K |
| D0230 |
|
69 |
50 |
$621.82 |
| D1208 |
|
16 |
16 |
$362.85 |
| D9430 |
|
13 |
13 |
$0.00 |
| D1999 |
|
1,241 |
1,194 |
$0.00 |
| D9310 |
|
26 |
26 |
$0.00 |