KIDS DENTISTRY-LAGRANGE, PLLC
NPI: 1104196989
· LA GRANGE, KY 40031
· Dental Clinic/Center
· NPI assigned 01/10/2012
$3.60M
Total Medicaid Paid
Provider Details
| Authorized Official | JAMES, SETPHEN (CFO) |
| NPI Enumeration Date | 01/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,221 |
$331K |
| 2019 |
14,780 |
$494K |
| 2020 |
12,641 |
$398K |
| 2021 |
11,274 |
$383K |
| 2022 |
11,428 |
$433K |
| 2023 |
16,635 |
$748K |
| 2024 |
18,111 |
$808K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
13,296 |
12,965 |
$738K |
| D2930 |
|
4,277 |
1,432 |
$503K |
| D2392 |
|
6,521 |
3,219 |
$455K |
| D0120 |
|
11,964 |
11,658 |
$292K |
| D1206 |
|
14,116 |
13,741 |
$249K |
| D7140 |
|
3,021 |
1,556 |
$187K |
| D9230 |
|
4,965 |
4,369 |
$176K |
| D2391 |
|
3,065 |
1,753 |
$170K |
| D0330 |
|
2,430 |
2,357 |
$128K |
| D1351 |
|
5,777 |
2,000 |
$125K |
| D0150 |
|
3,550 |
3,425 |
$108K |
| D0272 |
|
5,377 |
5,212 |
$105K |
| D1110 |
|
1,965 |
1,914 |
$97K |
| D0230 |
|
7,136 |
2,164 |
$51K |
| D0220 |
|
4,174 |
3,754 |
$44K |
| D0140 |
|
971 |
908 |
$37K |
| D0274 |
|
1,316 |
1,265 |
$37K |
| D3220 |
|
574 |
302 |
$37K |
| D2393 |
|
307 |
211 |
$25K |
| D1208 |
|
936 |
903 |
$14K |
| D2332 |
|
149 |
67 |
$12K |
| D9420 |
|
127 |
106 |
$6K |
| D1354 |
|
34 |
17 |
$374.00 |
| D3120 |
|
42 |
27 |
$0.00 |