BLYTHEVILLE PEDIATRIC DENTISTRY, PLLC
NPI: 1891123279
· BLYTHEVILLE, AR 72315
· 261QD0000X
$863K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,843 |
$162K |
| 2019 |
5,930 |
$147K |
| 2020 |
8,652 |
$223K |
| 2021 |
12,585 |
$331K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
7,442 |
7,063 |
$179K |
| D1120 |
|
5,450 |
5,158 |
$174K |
| D0272 |
|
5,662 |
5,414 |
$119K |
| D1208 |
|
5,757 |
5,498 |
$103K |
| D1110 |
|
1,691 |
1,632 |
$74K |
| D9230 |
|
1,749 |
1,631 |
$41K |
| D1206 |
|
1,390 |
1,301 |
$27K |
| D0210 |
|
317 |
301 |
$25K |
| D9248 |
|
300 |
262 |
$23K |
| D2930 |
|
163 |
101 |
$22K |
| D2392 |
|
321 |
177 |
$18K |
| D1351 |
|
663 |
169 |
$17K |
| D2150 |
|
143 |
83 |
$11K |
| D0220 |
|
592 |
551 |
$10K |
| D0603 |
|
2,286 |
2,130 |
$9K |
| D0140 |
|
161 |
154 |
$5K |
| D0602 |
|
755 |
734 |
$3K |
| D0330 |
|
140 |
137 |
$2K |
| D2140 |
|
15 |
12 |
$983.25 |
| D7140 |
|
13 |
12 |
$866.40 |