MAIN STREET DENTAL ASSOCIATES
NPI: 1881860211
· MIAMI, OK 74354
· 122300000X
$625K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,753 |
$141K |
| 2019 |
4,913 |
$159K |
| 2020 |
3,606 |
$95K |
| 2021 |
2,499 |
$72K |
| 2022 |
2,793 |
$96K |
| 2023 |
1,488 |
$42K |
| 2024 |
792 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,006 |
961 |
$183K |
| D1120 |
|
2,766 |
2,752 |
$82K |
| D1208 |
|
3,860 |
3,830 |
$57K |
| D0120 |
|
2,720 |
2,692 |
$57K |
| D1110 |
|
1,229 |
1,222 |
$55K |
| D0274 |
|
1,444 |
1,439 |
$43K |
| D0330 |
|
796 |
794 |
$37K |
| D0220 |
|
1,577 |
1,561 |
$23K |
| D0140 |
|
746 |
733 |
$22K |
| D7210 |
|
145 |
69 |
$17K |
| D0150 |
|
477 |
477 |
$14K |
| D0230 |
|
1,308 |
668 |
$9K |
| D9230 |
|
260 |
235 |
$7K |
| D0603 |
|
593 |
593 |
$5K |
| D0602 |
|
536 |
536 |
$5K |
| D0272 |
|
227 |
227 |
$4K |
| D2393 |
|
16 |
12 |
$2K |
| D7140 |
|
24 |
14 |
$1K |
| D2391 |
|
27 |
16 |
$1K |
| D0601 |
|
87 |
87 |
$795.61 |