RIGBY PEDIATRIC DENTAL PLLC
NPI: 1124657010
· RIGBY, ID 83442
· 1223P0221X
$575K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,344 |
$17K |
| 2021 |
5,131 |
$67K |
| 2022 |
8,653 |
$149K |
| 2023 |
10,580 |
$202K |
| 2024 |
9,349 |
$141K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,874 |
3,868 |
$258K |
| D2930 |
|
1,065 |
257 |
$91K |
| D0150 |
|
942 |
938 |
$75K |
| D1110 |
|
685 |
684 |
$72K |
| D0330 |
|
223 |
223 |
$21K |
| D2392 |
|
253 |
150 |
$21K |
| D2391 |
|
233 |
156 |
$11K |
| D1351 |
|
3,047 |
652 |
$11K |
| D0145 |
|
380 |
380 |
$6K |
| D7140 |
|
93 |
50 |
$5K |
| D0140 |
|
113 |
113 |
$3K |
| D0120 |
|
3,261 |
3,258 |
$1K |
| D1354 |
|
741 |
274 |
$1K |
| D0274 |
|
644 |
643 |
$1K |
| D0230 |
|
7,473 |
3,938 |
$120.79 |
| D0220 |
|
4,209 |
4,166 |
$75.06 |
| D0272 |
|
2,077 |
2,073 |
$74.30 |
| D1206 |
|
1,051 |
1,049 |
$13.55 |
| D1208 |
|
3,464 |
3,460 |
$0.00 |
| D9420 |
|
129 |
129 |
$0.00 |
| D9230 |
|
1,100 |
1,039 |
$0.00 |