ABC PEDIATRIC DENTISTRY, PC
NPI: 1992119390
· PROVIDENCE, UT 84332
· 1223P0221X
$2.79M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31,307 |
$890K |
| 2019 |
11,569 |
$363K |
| 2020 |
9,258 |
$321K |
| 2021 |
11,498 |
$393K |
| 2022 |
13,170 |
$410K |
| 2023 |
7,464 |
$226K |
| 2024 |
6,313 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
10,872 |
10,715 |
$1.10M |
| D1120 |
|
16,270 |
16,127 |
$446K |
| D0272 |
|
7,087 |
6,931 |
$233K |
| D1351 |
|
8,829 |
1,642 |
$172K |
| D0220 |
|
8,320 |
8,176 |
$164K |
| D0150 |
|
1,090 |
1,060 |
$125K |
| D1206 |
|
17,143 |
16,928 |
$114K |
| D9230 |
|
930 |
834 |
$96K |
| D0230 |
|
9,556 |
7,806 |
$71K |
| D2150 |
|
2,523 |
1,286 |
$56K |
| D2140 |
|
1,361 |
750 |
$37K |
| D0274 |
|
2,348 |
2,325 |
$35K |
| D0330 |
|
2,311 |
2,270 |
$35K |
| D9420 |
|
300 |
291 |
$32K |
| D2391 |
|
232 |
153 |
$17K |
| D2392 |
|
154 |
100 |
$14K |
| D7140 |
|
504 |
277 |
$13K |
| D0140 |
|
272 |
260 |
$12K |
| D1110 |
|
243 |
241 |
$4K |
| D3220 |
|
18 |
12 |
$3K |
| D2930 |
|
86 |
30 |
$2K |
| D2331 |
|
49 |
28 |
$2K |
| D4355 |
|
81 |
78 |
$472.72 |