WILEY PEDIATRIC DENTISTRY, LLC
NPI: 1902457039
· INDIANAPOLIS, IN 46224
· 1223P0221X
$2.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
5,586 |
$147K |
| 2021 |
15,704 |
$520K |
| 2022 |
18,427 |
$637K |
| 2023 |
14,005 |
$427K |
| 2024 |
10,993 |
$406K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2930 |
|
2,476 |
845 |
$349K |
| D1120 |
|
7,843 |
7,273 |
$253K |
| D1351 |
|
8,917 |
1,604 |
$233K |
| D1206 |
|
10,886 |
10,088 |
$223K |
| D0120 |
|
10,081 |
9,357 |
$215K |
| D2392 |
|
2,747 |
1,418 |
$171K |
| D1110 |
|
3,943 |
3,637 |
$165K |
| D0272 |
|
4,793 |
4,452 |
$109K |
| D9230 |
|
3,196 |
2,536 |
$92K |
| D7140 |
|
820 |
354 |
$61K |
| D0274 |
|
2,149 |
1,957 |
$60K |
| D0150 |
|
1,520 |
1,405 |
$49K |
| D2391 |
|
908 |
500 |
$42K |
| D1352 |
|
698 |
229 |
$23K |
| D0240 |
|
1,481 |
713 |
$22K |
| D2393 |
|
272 |
198 |
$20K |
| D0330 |
|
347 |
322 |
$17K |
| D0220 |
|
998 |
883 |
$10K |
| D3220 |
|
89 |
50 |
$9K |
| D0140 |
|
171 |
157 |
$6K |
| D1208 |
|
223 |
204 |
$4K |
| D2150 |
|
25 |
16 |
$2K |
| D0145 |
|
43 |
39 |
$2K |
| D0230 |
|
77 |
41 |
$698.40 |
| D0210 |
|
12 |
12 |
$551.09 |