KIDS DENTISTREE - WESTPORT VILLAGE
NPI: 1063808608
· LOUISVILLE, KY 40222
· 1223P0221X
$4.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,776 |
$300K |
| 2019 |
11,877 |
$324K |
| 2020 |
14,515 |
$411K |
| 2021 |
23,679 |
$717K |
| 2022 |
23,163 |
$791K |
| 2023 |
19,345 |
$825K |
| 2024 |
19,230 |
$825K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
20,496 |
20,294 |
$1.20M |
| D0120 |
|
17,339 |
17,171 |
$452K |
| D2392 |
|
5,236 |
2,870 |
$369K |
| D1206 |
|
17,194 |
17,033 |
$332K |
| D2930 |
|
1,936 |
724 |
$237K |
| D0150 |
|
6,462 |
6,374 |
$198K |
| D0330 |
|
3,690 |
3,647 |
$188K |
| D1110 |
|
3,024 |
2,970 |
$165K |
| D0272 |
|
6,944 |
6,872 |
$148K |
| D9230 |
|
3,624 |
3,336 |
$145K |
| D2391 |
|
2,354 |
1,463 |
$129K |
| D7140 |
|
1,717 |
1,006 |
$111K |
| D1351 |
|
4,696 |
1,267 |
$97K |
| D0230 |
|
11,185 |
3,935 |
$93K |
| D1208 |
|
5,520 |
5,430 |
$84K |
| D0220 |
|
6,920 |
6,661 |
$80K |
| D0274 |
|
2,426 |
2,390 |
$80K |
| D0140 |
|
1,285 |
1,249 |
$47K |
| D2393 |
|
339 |
222 |
$27K |
| D9420 |
|
140 |
140 |
$10K |
| D1510 |
|
18 |
12 |
$4K |
| D2330 |
|
23 |
12 |
$2K |
| D3220 |
|
17 |
12 |
$2K |