PEDIATRIC DENTAL CARE OF TIDEWATER PC
NPI: 1891915112
· PORTSMOUTH, VA 23703
· 1223P0221X
$11.51M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60,141 |
$1.98M |
| 2019 |
63,690 |
$2.05M |
| 2020 |
47,258 |
$1.42M |
| 2021 |
64,781 |
$2.01M |
| 2022 |
68,607 |
$2.43M |
| 2023 |
71,901 |
$1.62M |
| 2024 |
42,993 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
68,062 |
66,848 |
$1.81M |
| D2392 |
|
21,032 |
13,185 |
$1.59M |
| D1206 |
|
80,345 |
78,910 |
$1.34M |
| D0120 |
|
66,437 |
65,264 |
$1.14M |
| D9230 |
|
25,554 |
23,819 |
$739K |
| D7140 |
|
10,921 |
6,001 |
$621K |
| D2930 |
|
5,131 |
1,734 |
$600K |
| D2391 |
|
9,285 |
6,748 |
$560K |
| D1110 |
|
14,224 |
13,965 |
$550K |
| D0272 |
|
28,932 |
28,385 |
$475K |
| D0150 |
|
16,482 |
16,134 |
$471K |
| D1351 |
|
19,511 |
6,988 |
$460K |
| D0140 |
|
7,864 |
7,591 |
$181K |
| D0274 |
|
7,564 |
7,397 |
$168K |
| D0330 |
|
3,627 |
3,530 |
$151K |
| D2393 |
|
1,386 |
1,158 |
$140K |
| D0240 |
|
11,887 |
6,347 |
$124K |
| D0220 |
|
11,667 |
11,312 |
$111K |
| D9999 |
|
893 |
876 |
$106K |
| D0230 |
|
5,018 |
2,155 |
$47K |
| D0210 |
|
1,325 |
1,120 |
$42K |
| D2330 |
|
443 |
273 |
$29K |
| D3220 |
|
394 |
219 |
$28K |
| D3120 |
|
1,001 |
806 |
$13K |
| D2332 |
|
125 |
67 |
$13K |
| D1354 |
|
177 |
63 |
$2K |
| D2331 |
|
16 |
14 |
$1K |
| D2940 |
|
28 |
12 |
$825.60 |
| D1999 |
|
40 |
33 |
$0.00 |