PEDIATRIC DENTISTRY OF GREENVILLE,P.A.
NPI: 1902884984
· GREENVILLE, SC 29615
· 1223P0221X
$1.24M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15,994 |
$453K |
| 2019 |
17,810 |
$559K |
| 2020 |
6,919 |
$225K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
|
4,247 |
4,247 |
$146K |
| D0120 |
|
5,499 |
5,499 |
$125K |
| D1351 |
|
3,555 |
1,167 |
$105K |
| D2392 |
|
999 |
702 |
$101K |
| D1110 |
|
2,016 |
2,016 |
$100K |
| D1208 |
|
6,250 |
6,250 |
$100K |
| D0272 |
|
5,099 |
5,099 |
$96K |
| D2930 |
|
695 |
429 |
$85K |
| D9230 |
|
2,342 |
2,302 |
$75K |
| D7111 |
|
936 |
543 |
$61K |
| D7140 |
|
729 |
442 |
$60K |
| D0330 |
|
949 |
949 |
$47K |
| D0220 |
|
3,546 |
3,517 |
$45K |
| D0230 |
|
2,744 |
2,434 |
$27K |
| D2391 |
|
305 |
227 |
$24K |
| D0150 |
|
371 |
371 |
$15K |
| D0140 |
|
210 |
209 |
$8K |
| D2393 |
|
45 |
42 |
$6K |
| D3220 |
|
34 |
29 |
$3K |
| D0274 |
|
92 |
92 |
$2K |
| D1510 |
|
13 |
12 |
$2K |
| D2331 |
|
16 |
13 |
$1K |
| D0145 |
|
31 |
31 |
$1K |