CHILDREN'S DENTAL HEALTH SERVICES
NPI: 1881780864
· ROCHESTER, MN 55901
· 261QD0000X
$2.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,543 |
$37K |
| 2019 |
10,898 |
$227K |
| 2020 |
5,243 |
$129K |
| 2021 |
7,851 |
$248K |
| 2022 |
10,625 |
$454K |
| 2023 |
12,068 |
$544K |
| 2024 |
10,395 |
$491K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
12,128 |
11,963 |
$479K |
| D1206 |
|
14,359 |
14,161 |
$390K |
| D1351 |
|
9,387 |
3,004 |
$294K |
| D1330 |
|
9,396 |
9,208 |
$230K |
| D2392 |
|
2,003 |
1,117 |
$202K |
| D0274 |
|
2,176 |
2,166 |
$124K |
| D0272 |
|
2,541 |
2,530 |
$93K |
| D0150 |
|
1,578 |
1,573 |
$89K |
| D1110 |
|
1,446 |
1,433 |
$86K |
| D2391 |
|
948 |
628 |
$75K |
| D0120 |
|
598 |
598 |
$28K |
| D1355 |
|
441 |
111 |
$23K |
| D0145 |
|
54 |
54 |
$4K |
| D9920 |
|
89 |
84 |
$4K |
| D0140 |
|
55 |
53 |
$3K |
| D0240 |
|
52 |
28 |
$2K |
| D2393 |
|
14 |
12 |
$2K |
| D0220 |
|
68 |
68 |
$2K |
| D7111 |
|
19 |
14 |
$1K |
| D0191 |
|
2,235 |
2,148 |
$0.00 |
| D1353 |
|
36 |
21 |
$0.00 |