Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHY KIDS KAMPUS, PC

NPI: 1043606171 · TUCSON, AZ 85714 · Pediatric Dentist · NPI assigned 04/15/2015

$11K
Total Medicaid Paid
776
Total Claims
710
Beneficiary Records
10
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialCAPUTO, ANTHONY (DIRECTOR)
NPI Enumeration Date04/15/2015

Related Entities

Other providers sharing the same authorized official: CAPUTO, ANTHONY

ProviderCityStateTotal Paid
CHILDREN'S EYE CARE CENTER OF NJ NEWARK NJ $662K
ANTHONY CHARLES CAPUTO DDS PC TUCSON AZ $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 776 $11K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D1120 Prophylaxis - child 173 169 $4K
D1206 Topical application of fluoride varnish 147 145 $2K
D0120 Periodic oral evaluation - established patient 116 113 $2K
D0272 Bitewings - two radiographic images 100 98 $1K
D0274 Bitewings - four radiographic images 39 38 $774.24
D0150 Comprehensive oral evaluation - new or established patient 36 36 $691.05
D1351 Sealant - per tooth 40 13 $678.17
D1208 Topical application of fluoride, excluding varnish 43 41 $417.20
D0220 Intraoral - periapical first radiographic image 45 43 $384.51
D1354 37 14 $203.11