DREAM SMILES PEDIATRIC DENTISTRY OF GAITHERSBURG
NPI: 1992379168
· GAITHERSBURG, MD 20878
· 261QD0000X
$1.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
895 |
$35K |
| 2022 |
7,104 |
$340K |
| 2023 |
12,950 |
$567K |
| 2024 |
15,950 |
$717K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
2,205 |
1,261 |
$286K |
| D1120 |
|
4,790 |
4,724 |
$223K |
| D2930 |
|
1,017 |
447 |
$171K |
| D1206 |
|
5,929 |
5,849 |
$150K |
| D1351 |
|
4,082 |
1,301 |
$148K |
| D0120 |
|
3,433 |
3,403 |
$107K |
| D0150 |
|
1,650 |
1,604 |
$87K |
| D7140 |
|
671 |
356 |
$79K |
| D9248 |
|
388 |
355 |
$71K |
| D2391 |
|
600 |
390 |
$60K |
| D3120 |
|
1,553 |
748 |
$52K |
| D9230 |
|
2,336 |
2,064 |
$45K |
| D2393 |
|
259 |
195 |
$40K |
| D0330 |
|
713 |
698 |
$31K |
| D0272 |
|
1,736 |
1,698 |
$27K |
| D1330 |
|
3,038 |
2,985 |
$20K |
| D0220 |
|
1,216 |
1,163 |
$13K |
| D2940 |
|
271 |
81 |
$12K |
| D1110 |
|
173 |
172 |
$11K |
| D9310 |
|
219 |
207 |
$10K |
| D0274 |
|
266 |
265 |
$6K |
| D0140 |
|
108 |
106 |
$5K |
| D0230 |
|
119 |
108 |
$1K |
| D0240 |
|
88 |
82 |
$1K |
| D0145 |
|
24 |
24 |
$1K |
| D1208 |
|
15 |
15 |
$322.00 |