SOUTHERN PINES DENTAL, LLC
NPI: 1922457175
· ARCADIA, LA 71001
· 1223G0001X
$666K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,839 |
$198K |
| 2019 |
4,201 |
$169K |
| 2020 |
3,323 |
$129K |
| 2021 |
4,854 |
$170K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,420 |
1,383 |
$192K |
| D9230 |
|
3,302 |
2,354 |
$108K |
| D0120 |
|
2,393 |
2,286 |
$58K |
| D1120 |
|
1,840 |
1,806 |
$57K |
| D2391 |
|
964 |
620 |
$54K |
| D1110 |
|
1,214 |
1,190 |
$52K |
| D2393 |
|
534 |
342 |
$51K |
| D1208 |
|
1,711 |
1,679 |
$30K |
| D0272 |
|
1,497 |
1,470 |
$29K |
| D0150 |
|
313 |
283 |
$12K |
| D1206 |
|
492 |
478 |
$11K |
| D0330 |
|
122 |
114 |
$5K |
| D0220 |
|
261 |
252 |
$3K |
| D7210 |
|
16 |
12 |
$2K |
| D0140 |
|
107 |
104 |
$2K |
| D7140 |
|
19 |
13 |
$1K |
| D0210 |
|
12 |
12 |
$722.04 |