PEDIATRIC DENTAL GROUP II, LLC
NPI: 1912553215
· MIDWEST CITY, OK 73110
· 261QD0000X
$4.83M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,635 |
$84K |
| 2020 |
18,075 |
$586K |
| 2021 |
28,972 |
$852K |
| 2022 |
31,131 |
$957K |
| 2023 |
41,259 |
$1.28M |
| 2024 |
36,476 |
$1.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
7,330 |
4,621 |
$783K |
| D1120 |
|
19,018 |
18,615 |
$576K |
| D2930 |
|
4,288 |
2,843 |
$514K |
| D1206 |
|
23,258 |
22,840 |
$388K |
| D1351 |
|
14,323 |
4,038 |
$346K |
| D0120 |
|
15,608 |
15,252 |
$330K |
| D9230 |
|
8,882 |
8,059 |
$241K |
| D1110 |
|
5,088 |
5,025 |
$230K |
| D0330 |
|
4,100 |
3,987 |
$198K |
| D2391 |
|
2,600 |
1,911 |
$155K |
| D0272 |
|
8,361 |
8,191 |
$152K |
| D0150 |
|
4,936 |
4,847 |
$149K |
| D0220 |
|
8,977 |
8,605 |
$136K |
| D0274 |
|
3,323 |
3,288 |
$100K |
| D7140 |
|
1,486 |
1,125 |
$98K |
| D0603 |
|
9,996 |
9,776 |
$91K |
| D0140 |
|
2,035 |
1,988 |
$61K |
| D0230 |
|
7,844 |
5,680 |
$60K |
| D7111 |
|
734 |
550 |
$44K |
| D3220 |
|
461 |
361 |
$42K |
| D0145 |
|
1,160 |
1,137 |
$35K |
| D0602 |
|
3,561 |
3,529 |
$32K |
| D9248 |
|
212 |
202 |
$29K |
| D2393 |
|
198 |
154 |
$26K |
| D0350 |
|
503 |
503 |
$15K |
| D0601 |
|
240 |
240 |
$2K |
| D9310 |
|
12 |
12 |
$585.36 |
| D0270 |
|
14 |
14 |
$213.36 |