PEDIATRIC DENTAL CARE PC, INC
NPI: 1972673010
· PORT MATILDA, PA 16870
· 1223P0221X
$6.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
240 |
$4K |
| 2019 |
517 |
$12K |
| 2020 |
11,411 |
$623K |
| 2021 |
40,485 |
$2.34M |
| 2022 |
260 |
$8K |
| 2023 |
587 |
$19K |
| 2024 |
48,157 |
$3.27M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
7,062 |
2,825 |
$1.26M |
| D2392 |
|
6,388 |
2,945 |
$715K |
| D9222 |
|
385 |
385 |
$616K |
| D1120 |
|
9,699 |
9,599 |
$454K |
| D7140 |
|
4,535 |
2,213 |
$405K |
| D3220 |
|
2,953 |
1,512 |
$336K |
| D9248 |
|
1,257 |
1,230 |
$332K |
| D0120 |
|
10,771 |
10,641 |
$310K |
| D1206 |
|
11,668 |
11,522 |
$262K |
| D1351 |
|
6,879 |
1,718 |
$246K |
| D2391 |
|
2,502 |
1,614 |
$240K |
| D9230 |
|
3,538 |
3,436 |
$218K |
| D0272 |
|
6,689 |
6,587 |
$153K |
| D2934 |
|
492 |
166 |
$103K |
| D1110 |
|
1,793 |
1,775 |
$94K |
| D0150 |
|
2,526 |
2,510 |
$92K |
| D1510 |
|
539 |
417 |
$87K |
| D0240 |
|
2,553 |
1,875 |
$60K |
| D1330 |
|
6,885 |
6,808 |
$57K |
| D1310 |
|
5,683 |
5,615 |
$51K |
| D0220 |
|
2,089 |
2,051 |
$27K |
| D0230 |
|
1,259 |
1,029 |
$26K |
| D2330 |
|
332 |
198 |
$25K |
| D2393 |
|
202 |
157 |
$24K |
| D9920 |
|
130 |
126 |
$19K |
| D0603 |
|
1,609 |
1,603 |
$16K |
| D2332 |
|
147 |
102 |
$15K |
| D2331 |
|
141 |
100 |
$13K |
| D0210 |
|
131 |
131 |
$7K |
| D2920 |
|
112 |
98 |
$4K |
| D0145 |
|
96 |
96 |
$3K |
| D0602 |
|
130 |
130 |
$1K |
| D1999 |
|
66 |
65 |
$385.00 |
| D0270 |
|
37 |
37 |
$315.65 |
| D9223 |
|
379 |
379 |
$0.00 |