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MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF FT. MYERS, P.A.
NPI: 1962794602
· FORT MYERS, FL 33966
· 1223X0400X
$1.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,389 |
$65K |
| 2019 |
1,048 |
$25K |
| 2020 |
11,073 |
$264K |
| 2021 |
2,245 |
$42K |
| 2022 |
30,592 |
$484K |
| 2023 |
30,140 |
$508K |
| 2024 |
25,037 |
$412K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
10,919 |
10,663 |
$541K |
| D1110 |
|
3,598 |
3,490 |
$244K |
| D0150 |
|
3,346 |
3,283 |
$149K |
| D9230 |
|
4,563 |
4,216 |
$128K |
| D1351 |
|
9,929 |
2,937 |
$105K |
| D2392 |
|
1,674 |
1,108 |
$99K |
| D2391 |
|
1,843 |
1,396 |
$98K |
| D7140 |
|
1,623 |
973 |
$86K |
| D0272 |
|
7,029 |
6,857 |
$62K |
| D0120 |
|
11,291 |
10,989 |
$53K |
| D1208 |
|
13,413 |
13,100 |
$50K |
| D0140 |
|
1,058 |
1,021 |
$31K |
| D0274 |
|
3,167 |
3,082 |
$29K |
| D1354 |
|
2,437 |
777 |
$28K |
| D0220 |
|
6,149 |
5,749 |
$24K |
| D1330 |
|
12,770 |
12,482 |
$19K |
| D0330 |
|
282 |
282 |
$14K |
| D0240 |
|
751 |
508 |
$12K |
| D2930 |
|
102 |
74 |
$9K |
| D0230 |
|
5,546 |
4,416 |
$8K |
| D9999 |
|
322 |
322 |
$6K |
| D1999 |
|
52 |
52 |
$2K |
| D0999 |
|
67 |
67 |
$1K |
| D3120 |
|
65 |
51 |
$553.29 |
| D1206 |
|
516 |
475 |
$47.45 |
| D0210 |
|
12 |
12 |
$0.00 |