FREDERICK KIDDS PEDIATRIC DENTISTRY LLC
NPI: 1043694623
· FREDERICK, MD 21701
· 1223P0221X
$962K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,775 |
$127K |
| 2019 |
4,954 |
$177K |
| 2020 |
3,360 |
$116K |
| 2021 |
4,123 |
$153K |
| 2022 |
3,968 |
$150K |
| 2023 |
3,661 |
$136K |
| 2024 |
3,190 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,036 |
5,947 |
$262K |
| D2392 |
|
1,534 |
802 |
$183K |
| D0120 |
|
5,424 |
5,351 |
$160K |
| D1206 |
|
6,191 |
6,105 |
$153K |
| D0150 |
|
820 |
801 |
$42K |
| D0272 |
|
2,644 |
2,607 |
$41K |
| D2930 |
|
228 |
118 |
$35K |
| D9230 |
|
1,898 |
1,724 |
$35K |
| D1351 |
|
550 |
188 |
$18K |
| D0220 |
|
902 |
872 |
$9K |
| D7140 |
|
77 |
52 |
$8K |
| D0140 |
|
175 |
170 |
$7K |
| D0330 |
|
71 |
70 |
$3K |
| D0230 |
|
145 |
141 |
$2K |
| D1110 |
|
28 |
28 |
$2K |
| D1330 |
|
268 |
266 |
$2K |
| D0274 |
|
25 |
25 |
$528.00 |
| D0240 |
|
15 |
12 |
$117.00 |