AZ FAMILY AND KIDS DENTAL AVONDALE LLC
NPI: 1013526961
· AVONDALE, AZ 85323
· 1223G0001X
$308K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
1,399 |
$1K |
| 2021 |
4,265 |
$22K |
| 2022 |
10,105 |
$80K |
| 2023 |
11,636 |
$84K |
| 2024 |
13,533 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
2,529 |
1,139 |
$53K |
| D1120 |
|
4,013 |
3,967 |
$42K |
| D1206 |
|
5,378 |
5,322 |
$28K |
| D0120 |
|
3,444 |
3,412 |
$25K |
| D0150 |
|
2,027 |
2,004 |
$20K |
| D0220 |
|
5,650 |
5,536 |
$19K |
| D0230 |
|
6,387 |
4,692 |
$19K |
| D2930 |
|
378 |
84 |
$18K |
| D1110 |
|
1,400 |
1,385 |
$16K |
| D0274 |
|
1,614 |
1,595 |
$12K |
| D0272 |
|
2,179 |
2,153 |
$11K |
| D2393 |
|
398 |
226 |
$11K |
| D2391 |
|
638 |
402 |
$11K |
| D0140 |
|
811 |
788 |
$8K |
| D1351 |
|
676 |
226 |
$5K |
| D9230 |
|
692 |
637 |
$5K |
| D0330 |
|
217 |
213 |
$2K |
| D2332 |
|
41 |
24 |
$1K |
| D2394 |
|
19 |
12 |
$578.50 |
| D7140 |
|
14 |
12 |
$350.35 |
| D9430 |
|
15 |
15 |
$74.70 |
| D0603 |
|
848 |
752 |
$0.00 |
| D0602 |
|
1,413 |
1,226 |
$0.00 |
| D0601 |
|
157 |
151 |
$0.00 |