BRANDON MALL DENTAL P.A.
NPI: 1922419597
· BRANDON, FL 33511
· 122300000X
$283K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$7.00 |
| 2019 |
13 |
$0.00 |
| 2020 |
2,409 |
$28K |
| 2021 |
733 |
$8K |
| 2022 |
6,197 |
$66K |
| 2023 |
9,719 |
$123K |
| 2024 |
8,516 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
2,462 |
2,432 |
$82K |
| D0330 |
|
2,815 |
2,783 |
$49K |
| D0120 |
|
899 |
882 |
$39K |
| D2391 |
|
1,064 |
573 |
$32K |
| D2392 |
|
571 |
288 |
$30K |
| D7210 |
|
245 |
140 |
$9K |
| D0210 |
|
71 |
71 |
$8K |
| D1330 |
|
3,288 |
3,236 |
$7K |
| D0140 |
|
602 |
579 |
$6K |
| D1208 |
|
1,524 |
1,502 |
$4K |
| D0272 |
|
3,180 |
3,139 |
$3K |
| D4355 |
|
119 |
117 |
$3K |
| D0220 |
|
3,592 |
3,531 |
$3K |
| D7140 |
|
62 |
28 |
$3K |
| D9310 |
|
138 |
138 |
$3K |
| D1110 |
|
420 |
416 |
$2K |
| D0230 |
|
3,316 |
3,259 |
$1K |
| D1351 |
|
397 |
85 |
$572.39 |
| D0603 |
|
2,420 |
2,375 |
$467.24 |
| D1120 |
|
430 |
418 |
$459.14 |
| D1206 |
|
16 |
16 |
$42.90 |
| D9230 |
|
14 |
13 |
$41.80 |