PEDIATRIC DENTAL CLINIC
NPI: 1861996035
· FLORENCE, AL 35630
· 1223P0221X
$540K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,850 |
$171K |
| 2019 |
10,979 |
$236K |
| 2020 |
6,248 |
$133K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,000 |
4,944 |
$135K |
| D0120 |
|
6,143 |
6,091 |
$107K |
| D1208 |
|
6,187 |
6,122 |
$89K |
| D0330 |
|
1,038 |
1,023 |
$47K |
| D0272 |
|
2,614 |
2,583 |
$44K |
| D1110 |
|
1,187 |
1,181 |
$40K |
| D2392 |
|
316 |
236 |
$22K |
| D0150 |
|
663 |
643 |
$14K |
| D9230 |
|
721 |
680 |
$13K |
| D1351 |
|
461 |
116 |
$11K |
| D1206 |
|
576 |
572 |
$10K |
| D2930 |
|
57 |
43 |
$5K |
| D7140 |
|
33 |
12 |
$1K |
| D2391 |
|
17 |
14 |
$826.00 |
| D0220 |
|
51 |
50 |
$550.00 |
| D0140 |
|
13 |
13 |
$377.00 |