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PEDIATRIC DENTISTRY AND ORTHODONTICS OF JACKSON
PEDIATRIC DENTISTRY AND ORTHODONTICS OF JACKSON
NPI: 1952058133
· JACKSON, MI 49201
· 1223X0400X
$1.11M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,984 |
$153K |
| 2023 |
7,176 |
$464K |
| 2024 |
8,793 |
$497K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
1,606 |
709 |
$313K |
| D7140 |
|
1,551 |
808 |
$153K |
| D2392 |
|
922 |
566 |
$118K |
| D1120 |
|
1,654 |
1,654 |
$76K |
| D0150 |
|
1,013 |
1,012 |
$65K |
| D2391 |
|
580 |
393 |
$58K |
| D0230 |
|
3,635 |
1,620 |
$50K |
| D1206 |
|
1,602 |
1,600 |
$48K |
| D0220 |
|
2,150 |
2,116 |
$41K |
| D0140 |
|
644 |
636 |
$41K |
| D0120 |
|
891 |
889 |
$35K |
| D0240 |
|
1,265 |
725 |
$26K |
| D9248 |
|
191 |
181 |
$25K |
| D1351 |
|
553 |
250 |
$19K |
| D3220 |
|
92 |
65 |
$12K |
| D9310 |
|
103 |
103 |
$10K |
| D0272 |
|
308 |
307 |
$8K |
| D0145 |
|
162 |
162 |
$7K |
| D1510 |
|
31 |
25 |
$7K |