OLENTANGY PEDIATRIC DENTISTRY
NPI: 1952407686
· POWELL, OH 43065
· Pediatric Dentist
· NPI assigned 09/16/2006
$2.84M
Total Medicaid Paid
Provider Details
| Authorized Official | MILTON, JEFFREY (OWNER) |
| NPI Enumeration Date | 09/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,386 |
$284K |
| 2019 |
12,539 |
$282K |
| 2020 |
8,923 |
$168K |
| 2021 |
12,653 |
$256K |
| 2022 |
18,423 |
$389K |
| 2023 |
18,915 |
$415K |
| 2024 |
21,705 |
$1.05M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
3,753 |
752 |
$485K |
| D1120 |
|
21,208 |
20,133 |
$483K |
| D0120 |
|
21,222 |
20,199 |
$416K |
| D2391 |
|
3,986 |
2,666 |
$230K |
| D1206 |
|
10,194 |
9,397 |
$209K |
| D1208 |
|
13,061 |
12,666 |
$186K |
| D2392 |
|
2,190 |
1,441 |
$140K |
| D1110 |
|
3,147 |
2,967 |
$115K |
| D7140 |
|
1,269 |
632 |
$97K |
| D0150 |
|
3,139 |
2,940 |
$95K |
| D0272 |
|
7,973 |
7,559 |
$91K |
| D1351 |
|
3,091 |
1,065 |
$74K |
| D1354 |
|
3,792 |
1,686 |
$64K |
| D9230 |
|
2,443 |
2,007 |
$50K |
| D0274 |
|
1,720 |
1,644 |
$41K |
| D0140 |
|
1,400 |
1,330 |
$37K |
| D3220 |
|
117 |
42 |
$11K |
| D0220 |
|
1,638 |
1,539 |
$10K |
| D2335 |
|
41 |
13 |
$4K |
| D0230 |
|
160 |
78 |
$1K |