LAKESIDE PEDIATRIC DENTAL SPECIALISTS
NPI: 1891194379
· PORT HURON, MI 48060
· 1223P0221X
$2.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,985 |
$116K |
| 2021 |
9,726 |
$534K |
| 2022 |
8,937 |
$449K |
| 2023 |
10,064 |
$522K |
| 2024 |
8,205 |
$443K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
2,663 |
1,250 |
$489K |
| D2392 |
|
3,034 |
1,465 |
$352K |
| D1120 |
|
6,094 |
6,093 |
$244K |
| D0120 |
|
6,201 |
6,200 |
$199K |
| D1206 |
|
6,380 |
6,379 |
$168K |
| D7140 |
|
1,708 |
913 |
$138K |
| D0140 |
|
1,804 |
1,793 |
$106K |
| D2391 |
|
1,100 |
750 |
$94K |
| D0272 |
|
2,618 |
2,618 |
$63K |
| D1351 |
|
2,024 |
799 |
$61K |
| D3220 |
|
366 |
247 |
$43K |
| D0220 |
|
1,774 |
1,757 |
$31K |
| D0230 |
|
2,217 |
1,011 |
$29K |
| D1110 |
|
337 |
337 |
$16K |
| D0330 |
|
174 |
173 |
$12K |
| D0274 |
|
272 |
272 |
$9K |
| D9248 |
|
96 |
94 |
$6K |
| D0150 |
|
55 |
55 |
$3K |