IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC

NPI: 1063755437 · BURLESON, TX 76028 · Pediatric Dentist · NPI assigned 04/03/2013

$769K

Total Medicaid Paid

31,744

Total Claims

26,089

Beneficiaries

Codes Billed

2018-10

First Month

2021-11

Last Month

Provider Details

Authorized Official	AGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING)
NPI Enumeration Date	04/03/2013

Other providers sharing the same authorized official: AGUILAR, ALYSSA

Provider	City	State	Total Paid
IKIDS PEDIATRIC DENTISTRY ARLINGTON	ARLINGTON	TX	$1.05M
IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.	FORT WORTH	TX	$948K
IKIDS PEDIATRIC DENTISTRY AND ORTHODONTICS NFW	FORT WORTH	TX	$856K
IKIDS PEDIATRIC DENTISTRY, PC	MANSFIELD	TX	$518K
IKIDS PEDIATRIC DENTISTRY ENNIS, PLLC	ENNIS	TX	$432K
IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC	CEDAR HILL	TX	$410K
IKIDS PEDIATRIC DENTISTRY DENTON, PLLC	DENTON	TX	$263K
IKIDS PEDIATRIC DENTISTRY WAXAHACHIE PLLC	WAXAHACHIE	TX	$179K
IKIDS PEDIATRIC DENTISTRY TYLER, PLLC	TYLER	TX	$149K
IKIDS PEDIATRIC DENTISTRY VIRIDIAN, PLLC	ARLINGTON	TX	$121K
IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC	DALLAS	TX	$2K

Code	Claims	Beneficiaries	Total Paid
D1351	4,040	666	$105K
D1120	3,084	2,947	$103K
D0120	3,545	3,394	$95K
D0145	520	510	$71K
D2392	766	406	$68K
D2930	388	170	$52K
D1206	3,489	3,326	$47K
D0272	2,067	1,951	$43K
D2391	523	345	$36K
D1110	602	574	$30K
D0210	457	446	$30K
D9230	1,099	1,057	$27K
D0220	1,990	1,848	$22K
D0230	1,911	1,546	$17K
D0150	175	164	$5K
D0274	172	162	$5K
D0330	93	87	$4K
D1208	249	247	$3K
D3220	31	19	$3K
D0140	137	127	$2K
D0603	4,799	4,650	$0.00
D1999	1,607	1,447	$0.00