ANCHETA PEDIATRIC DENTAL LLC
NPI: 1891235560
· AIEA, HI 96701
· 261QD0000X
$1.75M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,330 |
$346K |
| 2019 |
9,641 |
$278K |
| 2020 |
6,267 |
$149K |
| 2021 |
9,031 |
$262K |
| 2022 |
9,388 |
$257K |
| 2023 |
8,192 |
$251K |
| 2024 |
6,420 |
$207K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
7,872 |
7,872 |
$216K |
| D1120 |
|
7,160 |
7,160 |
$204K |
| D2150 |
|
2,659 |
1,201 |
$136K |
| D2930 |
|
1,518 |
618 |
$119K |
| D1208 |
|
8,108 |
8,108 |
$110K |
| D2392 |
|
963 |
428 |
$96K |
| D0330 |
|
1,786 |
1,784 |
$95K |
| D3220 |
|
1,194 |
498 |
$79K |
| D0272 |
|
3,924 |
3,924 |
$74K |
| D0220 |
|
6,359 |
6,260 |
$74K |
| D0230 |
|
7,181 |
5,600 |
$63K |
| D7140 |
|
1,321 |
725 |
$62K |
| D1351 |
|
2,143 |
734 |
$60K |
| D2332 |
|
478 |
208 |
$57K |
| D9230 |
|
984 |
936 |
$56K |
| D1110 |
|
1,327 |
1,327 |
$51K |
| D2391 |
|
547 |
261 |
$43K |
| D0274 |
|
1,390 |
1,390 |
$40K |
| D2140 |
|
660 |
381 |
$29K |
| D0140 |
|
1,000 |
971 |
$28K |
| D2160 |
|
363 |
224 |
$24K |
| D2393 |
|
117 |
78 |
$18K |
| D0150 |
|
256 |
256 |
$7K |
| D9310 |
|
50 |
50 |
$3K |
| D2335 |
|
31 |
15 |
$3K |
| D0145 |
|
57 |
57 |
$2K |
| D1206 |
|
197 |
197 |
$542.40 |
| D9985 |
|
624 |
577 |
$0.00 |