PEDIATRIC DENTISTRY OF SALEM
NPI: 1992825137
· SALEM, NH 03079
· 1223P0221X
$1.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,794 |
$157K |
| 2019 |
5,347 |
$181K |
| 2020 |
3,772 |
$122K |
| 2021 |
4,824 |
$160K |
| 2022 |
4,864 |
$161K |
| 2023 |
4,908 |
$176K |
| 2024 |
5,539 |
$231K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
9,425 |
9,122 |
$294K |
| D1120 |
|
6,765 |
6,502 |
$250K |
| D1110 |
|
3,154 |
3,034 |
$168K |
| D1208 |
|
9,089 |
8,765 |
$168K |
| D2392 |
|
972 |
610 |
$107K |
| D2391 |
|
865 |
561 |
$82K |
| D0272 |
|
2,648 |
2,548 |
$70K |
| D0150 |
|
369 |
340 |
$20K |
| D9230 |
|
309 |
278 |
$13K |
| D1351 |
|
298 |
100 |
$9K |
| D0330 |
|
129 |
123 |
$7K |
| D0210 |
|
13 |
13 |
$754.00 |
| D0274 |
|
12 |
12 |
$395.88 |