GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
NPI: 1871247692
· BOYNTON BEACH, FL 33436
· 261QD0000X
$588K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15,237 |
$219K |
| 2023 |
19,780 |
$281K |
| 2024 |
11,893 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
5,515 |
5,385 |
$220K |
| D1110 |
|
2,026 |
1,976 |
$173K |
| D0230 |
|
6,538 |
5,261 |
$64K |
| D2392 |
|
825 |
607 |
$56K |
| D0150 |
|
369 |
363 |
$19K |
| D0330 |
|
611 |
609 |
$9K |
| D1120 |
|
3,945 |
3,857 |
$8K |
| D1208 |
|
5,971 |
5,832 |
$8K |
| D9230 |
|
494 |
433 |
$7K |
| D2930 |
|
29 |
24 |
$6K |
| D1351 |
|
3,996 |
1,280 |
$4K |
| D1330 |
|
6,035 |
5,896 |
$4K |
| D0240 |
|
266 |
163 |
$2K |
| D0272 |
|
3,996 |
3,892 |
$2K |
| D0220 |
|
5,810 |
5,475 |
$2K |
| D0274 |
|
346 |
345 |
$1K |
| D0140 |
|
87 |
81 |
$1K |
| D7140 |
|
36 |
26 |
$251.19 |
| D3220 |
|
15 |
12 |
$0.00 |