KIDIATRIC DENTISTRY, PLLC
NPI: 1073895629
· GILBERT, AZ 85296
· 1223P0221X
$157K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$861.24 |
| 2019 |
518 |
$2K |
| 2020 |
1,626 |
$6K |
| 2021 |
2,000 |
$9K |
| 2022 |
4,682 |
$43K |
| 2023 |
5,515 |
$45K |
| 2024 |
5,484 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,167 |
3,033 |
$46K |
| D0120 |
|
2,692 |
2,566 |
$28K |
| D1208 |
|
2,448 |
2,338 |
$19K |
| D0272 |
|
1,989 |
1,896 |
$15K |
| D0220 |
|
2,408 |
2,299 |
$11K |
| D0230 |
|
2,201 |
2,025 |
$9K |
| D0240 |
|
1,326 |
665 |
$7K |
| D0274 |
|
312 |
301 |
$4K |
| D9230 |
|
470 |
434 |
$4K |
| D2392 |
|
109 |
63 |
$3K |
| D1206 |
|
544 |
526 |
$3K |
| D0150 |
|
144 |
143 |
$2K |
| D0330 |
|
114 |
113 |
$2K |
| D1110 |
|
59 |
57 |
$1K |
| D1351 |
|
46 |
12 |
$702.78 |
| D0145 |
|
12 |
12 |
$186.96 |
| D1999 |
|
156 |
149 |
$11.82 |
| D1330 |
|
1,658 |
1,507 |
$0.00 |
| D0601 |
|
14 |
14 |
$0.00 |