BOYNTON BEACH MALL DENTAL PA
NPI: 1861053480
· BOYNTON BEACH, FL 33426
· 1223G0001X
$174K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
32 |
$2K |
| 2020 |
299 |
$6K |
| 2021 |
111 |
$959.45 |
| 2022 |
8,286 |
$67K |
| 2023 |
5,918 |
$57K |
| 2024 |
5,776 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,996 |
2,826 |
$102K |
| D0210 |
|
198 |
198 |
$13K |
| D0220 |
|
3,629 |
3,350 |
$9K |
| D0330 |
|
2,491 |
2,317 |
$9K |
| D0140 |
|
650 |
574 |
$7K |
| D7210 |
|
270 |
111 |
$6K |
| D2392 |
|
176 |
98 |
$5K |
| D0120 |
|
142 |
136 |
$4K |
| D0272 |
|
2,875 |
2,683 |
$4K |
| D1110 |
|
543 |
533 |
$4K |
| D9310 |
|
217 |
210 |
$3K |
| D1330 |
|
1,928 |
1,775 |
$3K |
| D0230 |
|
3,371 |
3,059 |
$2K |
| D1208 |
|
519 |
499 |
$2K |
| D2391 |
|
94 |
58 |
$2K |
| D1206 |
|
166 |
166 |
$1K |
| D1120 |
|
42 |
42 |
$532.48 |
| D1351 |
|
57 |
12 |
$388.30 |
| D4355 |
|
32 |
30 |
$156.69 |
| D9999 |
|
13 |
13 |
$60.00 |
| D0601 |
|
13 |
13 |
$9.00 |