PALOUSE PEDIATRIC DENTISTRY
NPI: 1013175595
· MOSCOW, ID 83843
· Pediatric Dentist
· NPI assigned 05/30/2008
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | SEPT, KAREN (OWNER) |
| NPI Enumeration Date | 05/30/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,061 |
$33K |
| 2019 |
1,701 |
$27K |
| 2020 |
1,037 |
$18K |
| 2021 |
925 |
$16K |
| 2022 |
824 |
$14K |
| 2023 |
632 |
$9K |
| 2024 |
547 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,614 |
1,605 |
$93K |
| D1110 |
Prophylaxis - adult |
420 |
417 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
2,609 |
2,593 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
180 |
168 |
$126.57 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
562 |
559 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$-120.29 |
| D1206 |
Topical application of fluoride varnish |
2,288 |
2,276 |
$-678.82 |