REVERE PEDIATRIC DENTISTRY
NPI: 1912357336
· REVERE, MA 02151
· 1223P0221X
$1.30M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,430 |
$49K |
| 2019 |
1,857 |
$62K |
| 2020 |
1,875 |
$54K |
| 2021 |
3,123 |
$114K |
| 2022 |
5,444 |
$244K |
| 2023 |
7,671 |
$367K |
| 2024 |
8,288 |
$409K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
5,046 |
4,927 |
$256K |
| D2392 |
|
1,494 |
656 |
$163K |
| D2930 |
|
804 |
262 |
$154K |
| D1206 |
|
5,783 |
5,658 |
$151K |
| D0120 |
|
4,890 |
4,777 |
$141K |
| D7140 |
|
845 |
399 |
$82K |
| D0150 |
|
928 |
896 |
$55K |
| D0274 |
|
1,069 |
1,031 |
$46K |
| D0272 |
|
1,414 |
1,389 |
$42K |
| D2391 |
|
468 |
258 |
$40K |
| D1110 |
|
540 |
532 |
$37K |
| D0220 |
|
1,636 |
1,576 |
$32K |
| D0230 |
|
2,433 |
889 |
$27K |
| D3220 |
|
179 |
65 |
$17K |
| D9230 |
|
794 |
711 |
$16K |
| D1351 |
|
374 |
102 |
$14K |
| D2150 |
|
106 |
38 |
$10K |
| D0140 |
|
211 |
208 |
$10K |
| D2393 |
|
47 |
27 |
$5K |
| D0330 |
|
29 |
26 |
$2K |
| D1999 |
|
288 |
277 |
$0.00 |
| D1330 |
|
310 |
307 |
$0.00 |