LEWIS PEDIATRIC DENTISTRY PLLC
NPI: 1902445190
· QUEENSBURY, NY 12804
· 1223P0221X
$543K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
500 |
$19K |
| 2021 |
2,199 |
$69K |
| 2022 |
4,732 |
$151K |
| 2023 |
6,032 |
$224K |
| 2024 |
2,611 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
4,131 |
4,131 |
$176K |
| D0120 |
|
3,215 |
3,215 |
$83K |
| D1206 |
|
2,542 |
2,542 |
$75K |
| D2392 |
|
343 |
183 |
$34K |
| D0150 |
|
894 |
894 |
$27K |
| D2930 |
|
191 |
80 |
$25K |
| D1208 |
|
1,602 |
1,602 |
$23K |
| D0272 |
|
1,253 |
1,253 |
$19K |
| D7140 |
|
277 |
197 |
$18K |
| D0145 |
|
525 |
525 |
$16K |
| D1110 |
|
237 |
237 |
$12K |
| D1351 |
|
179 |
71 |
$9K |
| D2391 |
|
111 |
88 |
$8K |
| D0240 |
|
236 |
184 |
$5K |
| D9920 |
|
114 |
114 |
$3K |
| D7961 |
|
15 |
15 |
$3K |
| D7962 |
|
14 |
14 |
$3K |
| D0330 |
|
78 |
78 |
$3K |
| D0140 |
|
69 |
69 |
$943.00 |
| D0274 |
|
22 |
22 |
$595.20 |
| D0220 |
|
26 |
25 |
$329.68 |