GREEN MOUNTAIN PEDIATRIC DENTISTRY, PLLC
NPI: 1912469297
· SOUTH BURLINGTON, VT 05403
· 1223P0221X
$1.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
563 |
$21K |
| 2020 |
4,509 |
$92K |
| 2021 |
4,454 |
$75K |
| 2023 |
8,461 |
$289K |
| 2024 |
18,769 |
$810K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,009 |
910 |
$283K |
| D1351 |
|
6,397 |
877 |
$114K |
| D1120 |
|
2,649 |
2,297 |
$113K |
| D9230 |
|
1,904 |
1,494 |
$108K |
| D1354 |
|
4,499 |
778 |
$86K |
| D0150 |
|
1,178 |
996 |
$69K |
| D1206 |
|
2,500 |
2,194 |
$64K |
| D0272 |
|
1,947 |
1,706 |
$53K |
| D2391 |
|
460 |
237 |
$52K |
| D0220 |
|
2,415 |
2,057 |
$49K |
| D0330 |
|
591 |
507 |
$47K |
| D0230 |
|
2,952 |
1,752 |
$44K |
| D0120 |
|
1,450 |
1,314 |
$44K |
| D2393 |
|
222 |
147 |
$44K |
| D9310 |
|
345 |
287 |
$22K |
| D7140 |
|
162 |
115 |
$19K |
| D1110 |
|
239 |
216 |
$14K |
| D0274 |
|
311 |
279 |
$14K |
| D1330 |
|
1,607 |
1,330 |
$12K |
| D0140 |
|
165 |
149 |
$9K |
| D2332 |
|
50 |
37 |
$8K |
| D1208 |
|
484 |
406 |
$7K |
| D2930 |
|
35 |
16 |
$5K |
| D1510 |
|
14 |
12 |
$3K |
| D3220 |
|
34 |
17 |
$3K |
| D0145 |
|
30 |
20 |
$1K |
| D0601 |
|
71 |
65 |
$0.00 |
| D0603 |
|
710 |
622 |
$0.00 |
| D0602 |
|
138 |
109 |
$0.00 |
| D1310 |
|
55 |
50 |
$0.00 |
| D1999 |
|
1,133 |
873 |
$0.00 |