JUST KIDS DENTAL INC
NPI: 1013233873
· TWO HARBORS, MN 55616
· Dental Hygienist
· NPI assigned 04/19/2010
$157K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, STACEY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/19/2010 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, STACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,623 |
$8K |
| 2019 |
1,197 |
$20K |
| 2020 |
242 |
$4K |
| 2021 |
702 |
$12K |
| 2022 |
771 |
$23K |
| 2023 |
1,076 |
$31K |
| 2024 |
1,817 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,991 |
1,954 |
$57K |
| D1206 |
Topical application of fluoride varnish |
2,322 |
2,282 |
$39K |
| D1330 |
|
1,821 |
1,756 |
$31K |
| D1351 |
Sealant - per tooth |
1,264 |
388 |
$29K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$2K |