PARK CITY DENTAL ASSOCIATES LLC
NPI: 1992261143
· PARK CITY, UT 84060
· 261QD0000X
$868K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
932 |
$30K |
| 2020 |
4,739 |
$191K |
| 2021 |
6,913 |
$271K |
| 2022 |
6,542 |
$273K |
| 2023 |
2,857 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
2,109 |
576 |
$278K |
| D0210 |
|
1,618 |
1,618 |
$138K |
| D1110 |
|
2,045 |
2,043 |
$124K |
| D2392 |
|
1,820 |
1,119 |
$107K |
| D2393 |
|
512 |
395 |
$71K |
| D7140 |
|
1,386 |
285 |
$28K |
| D0140 |
|
1,221 |
1,199 |
$26K |
| D0330 |
|
1,926 |
1,922 |
$25K |
| D2391 |
|
1,315 |
795 |
$23K |
| D0150 |
|
2,368 |
2,367 |
$12K |
| D2332 |
|
53 |
36 |
$10K |
| D2331 |
|
154 |
107 |
$10K |
| D0274 |
|
2,502 |
2,500 |
$6K |
| D4341 |
|
58 |
25 |
$4K |
| D4910 |
|
68 |
67 |
$3K |
| D0220 |
|
1,124 |
1,074 |
$2K |
| D0120 |
|
751 |
750 |
$753.63 |
| D1208 |
|
584 |
584 |
$216.42 |
| D2330 |
|
15 |
12 |
$123.72 |
| D0230 |
|
354 |
234 |
$112.13 |