THE INDIAN SPRINGS DENTAL CLINIC, LLC
NPI: 1144207705
· KANSAS CITY, KS 66102
· 1223G0001X
$1.94M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48,713 |
$1.30M |
| 2019 |
20,959 |
$637K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
11,596 |
3,938 |
$282K |
| D1120 |
|
8,768 |
8,526 |
$263K |
| D0120 |
|
11,066 |
10,774 |
$234K |
| D1206 |
|
12,521 |
12,161 |
$214K |
| D1110 |
|
3,598 |
3,476 |
$147K |
| D2930 |
|
1,225 |
609 |
$145K |
| D0272 |
|
6,721 |
6,544 |
$136K |
| D2391 |
|
1,827 |
1,291 |
$126K |
| D0274 |
|
3,692 |
3,572 |
$108K |
| D2392 |
|
1,225 |
869 |
$90K |
| D9230 |
|
2,951 |
2,652 |
$58K |
| D0330 |
|
1,231 |
1,196 |
$44K |
| D0150 |
|
865 |
811 |
$25K |
| D2140 |
|
422 |
326 |
$22K |
| D2150 |
|
229 |
176 |
$15K |
| D0240 |
|
593 |
543 |
$11K |
| D0140 |
|
276 |
256 |
$8K |
| D0220 |
|
438 |
425 |
$5K |
| D7140 |
|
30 |
25 |
$3K |
| D1330 |
|
125 |
125 |
$0.00 |
| D1310 |
|
125 |
125 |
$0.00 |
| D1320 |
|
22 |
22 |
$0.00 |
| D0603 |
|
126 |
126 |
$0.00 |