Courtyard Medical Dental Services

Billing by Serivce Code

$6,000
Data
Service Code Total Billed Average Billed
D0120 3510 195
$5,000
D0210 1100 550
D1110 4780 207.82608696
D2330 1285 321.25
D2751 3615 278.07692308 $4,000
Total Result 14290 238.16666667
This shape represents a
slicer. Slicers are $3,000
supported in Excel 2010
or later.

If the shape was $2,000

modified in an earlier
version of Excel, or if the
workbook was saved in
Excel 2003 or earlier, the $1,000
slicer cannot be used.

$0
Service D0120 D0210 D1110
Code
 Data
Column C

D0210 D1110 D2330

 Service Maximum
ID Insurance Code Date Benefit Billed
DS0001 CompDent D0120 1/5/2021 125 135
DS0002 SIP D1110 1/18/2021 185 135
DS0003 CompDent D2751 1/31/2021 235 250
DS0004 Westville D2751 2/13/2021 135 100
DS0005 CompDent D1110 2/26/2021 245 185
DS0006 SIP D1110 3/11/2021 275 100
DS0007 SIP D1110 3/24/2021 325 425
DS0008 Westville D0120 4/6/2021 175 125
DS0009 BlueDent D0120 4/19/2021 195 145
DS0010 BlueDent D1110 5/2/2021 200 225
DS0011 BlueDent D1110 5/15/2021 225 235
DS0012 SIP D1110 5/28/2021 200 185
DS0013 CompDent D2751 6/10/2021 475 325
DS0014 SIP D1110 6/23/2021 235 235
DS0015 SIP D1110 7/6/2021 235 245
DS0016 BlueDent D1110 1/31/2021 225 200
DS0017 BlueDent D0120 2/13/2021 185 175
DS0018 Westville D0120 7/19/2021 195 150
DS0019 Westville D1110 8/1/2021 225 125
DS0020 CompDent D2751 8/14/2021 375 500
DS0021 CompDent D2330 8/27/2021 325 400
DS0022 Westville D2751 9/9/2021 450 400
DS0023 Westville D0120 9/22/2021 325 300
DS0024 SIP D0210 10/5/2021 500 550
DS0025 SIP D0120 10/18/2021 250 250
DS0026 BlueDent D2751 10/31/2021 125 115
DS0027 CompDent D0120 11/13/2021 325 300
DS0028 Westville D2330 11/26/2021 275 250
DS0029 SIP D2751 12/9/2021 200 235
DS0030 BlueDent D1110 12/22/2021 185 175
DS0031 CompDent D2330 2/26/2021 225 235
DS0032 BlueDent D1110 2/2/2022 225 200
DS0033 BlueDent D0120 2/14/2022 185 175
DS0034 Westville D0120 2/26/2022 195 150
DS0035 Westville D1110 3/9/2022 225 125
DS0036 CompDent D2751 3/21/2022 375 500
DS0037 CompDent D2330 4/2/2022 325 400
DS0038 Westville D2751 4/14/2022 450 400
DS0039 Westville D0120 4/26/2022 325 300
DS0040 SIP D0210 5/8/2022 500 550
DS0041 SIP D0120 5/20/2022 250 250
DS0042 BlueDent D2751 6/1/2022 125 115
DS0043 CompDent D2751 6/13/2022 475 325
DS0044 SIP D1110 6/25/2022 235 235
DS0045 SIP D1110 7/7/2022 235 245
DS0046 BlueDent D1110 7/19/2022 225 200
DS0047 BlueDent D0120 7/31/2022 185 175
DS0048 Westville D0120 8/12/2022 195 150
DS0049 CompDent D0120 8/24/2022 125 135
DS0050 SIP D1110 9/5/2022 185 135
DS0051 CompDent D2751 9/17/2022 235 250
DS0052 Westville D2751 9/29/2022 135 100
DS0053 CompDent D1110 10/11/2022 245 185
DS0054 SIP D1110 10/23/2022 275 100
DS0055 SIP D1110 11/4/2022 325 425
DS0056 Westville D0120 11/16/2022 175 125
DS0057 BlueDent D0120 11/28/2022 195 145
DS0058 BlueDent D1110 12/10/2022 200 225
DS0059 BlueDent D1110 12/22/2022 225 235
DS0060 Westville D0120 12/23/2022 250 325
 Service Maximum
ID Insurance Code Date Benefit Billed
OP0032 BlueDent D1110 2/2/2022 225 200
OP0033 BlueDent D0120 2/14/2022 185 175
OP0034 Westville D0120 2/26/2022 195 150
OP0035 Westville D1110 3/9/2022 225 125
OP0036 CompDent D2751 3/21/2022 375 500
OP0037 CompDent D2330 4/2/2022 325 400
OP0038 Westville D2751 4/14/2022 450 400
OP0039 Westville D0120 4/26/2022 325 300
OP0040 SIP D0210 5/8/2022 500 550
OP0041 SIP D0120 5/20/2022 250 250
OP0042 BlueDent D2751 6/1/2022 125 115
OP0043 CompDent D2751 6/13/2022 475 325
OP0044 SIP D1110 6/25/2022 235 235
OP0045 SIP D1110 7/7/2022 235 245
OP0046 BlueDent D1110 7/19/2022 225 200
OP0047 BlueDent D0120 7/31/2022 185 175
OP0048 Westville D0120 8/12/2022 195 150
OP0049 CompDent D0120 8/24/2022 125 135
OP0050 SIP D1110 9/5/2022 185 135
OP0051 CompDent D2751 9/17/2022 235 250
OP0052 Westville D2751 9/29/2022 135 100
OP0053 CompDent D1110 10/11/2022 245 185
OP0054 SIP D1110 10/23/2022 275 100
OP0055 SIP D1110 11/4/2022 325 425
OP0056 Westville D0120 11/16/2022 175 125
OP0057 BlueDent D0120 11/28/2022 195 145
OP0058 BlueDent D1110 12/10/2022 200 225
OP0059 BlueDent D1110 12/22/2022 225 235
OP0060 Westville D120 12/23/2022 250 325
 Service Maximum
ID Insurance Code Date Benefit Billed
OP0001 CompDent D0120 1/5/2021 125 135
OP0002 SIP D1110 1/18/2021 185 135
OP0003 CompDent D2751 1/31/2021 235 250
OP0004 Westville D2751 2/13/2021 135 100
OP0005 CompDent D1110 2/26/2021 245 185
OP0006 SIP D1110 3/11/2021 275 100
OP0007 SIP D1110 3/24/2021 325 425
OP0008 Westville D0120 4/6/2021 175 125
OP0009 BlueDent D0120 4/19/2021 195 145
OP0010 BlueDent D1110 5/2/2021 200 225
OP0011 BlueDent D1110 5/15/2021 225 235
OP0012 SIP D1110 5/28/2021 200 185
OP0013 CompDent D2751 6/10/2021 475 325
OP0014 SIP D1110 6/23/2021 235 235
OP0015 SIP D1110 7/6/2021 235 245
OP0016 BlueDent D1110 1/31/2021 225 200
OP0017 BlueDent D0120 2/13/2021 185 175
OP0018 Westville D0120 7/19/2021 195 150
OP0019 Westville D1110 8/1/2021 225 125
OP0020 CompDent D2751 8/14/2021 375 500
OP0021 CompDent D2330 8/27/2021 325 400
OP0022 Westville D2751 9/9/2021 450 400
OP0023 Westville D0120 9/22/2021 325 300
OP0024 SIP D0210 10/5/2021 500 550
OP0025 SIP D0120 10/18/2021 250 250
OP0026 BlueDent D2751 10/31/2021 125 115
OP0027 CompDent D0120 11/13/2021 325 300
OP0028 Westville D2330 11/26/2021 275 250
OP0029 SIP D2751 12/9/2021 200 235
OP0030 BlueDent D1110 12/22/2021 185 175
OP0031 CompDent D2330 2/26/2021 225 235