FAMILIA DENTAL KENOSHA LLC
NPI: 1154782209
· KENOSHA, WI 53142
· 1223G0001X
$3.66M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33,794 |
$527K |
| 2019 |
39,724 |
$539K |
| 2020 |
28,478 |
$347K |
| 2021 |
34,934 |
$313K |
| 2022 |
35,954 |
$620K |
| 2023 |
30,494 |
$597K |
| 2024 |
32,523 |
$716K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
9,190 |
5,291 |
$438K |
| D1110 |
|
14,011 |
12,317 |
$344K |
| D1120 |
|
16,886 |
14,677 |
$334K |
| D0120 |
|
23,312 |
20,549 |
$317K |
| D0274 |
|
17,605 |
15,440 |
$253K |
| D2391 |
|
6,799 |
3,547 |
$241K |
| D0220 |
|
36,290 |
31,194 |
$239K |
| D0150 |
|
12,200 |
10,419 |
$215K |
| D1351 |
|
10,729 |
1,767 |
$204K |
| D0230 |
|
37,416 |
26,988 |
$175K |
| D1208 |
|
15,809 |
13,467 |
$174K |
| D0272 |
|
11,234 |
9,863 |
$130K |
| D7210 |
|
1,824 |
889 |
$129K |
| D0140 |
|
6,345 |
5,374 |
$100K |
| D2393 |
|
1,468 |
1,058 |
$95K |
| D1206 |
|
6,590 |
6,109 |
$93K |
| D7140 |
|
2,378 |
1,038 |
$79K |
| D0210 |
|
552 |
515 |
$23K |
| D0330 |
|
856 |
826 |
$20K |
| D4355 |
|
331 |
284 |
$15K |
| D2331 |
|
234 |
145 |
$10K |
| D0270 |
|
1,652 |
1,382 |
$9K |
| D9230 |
|
152 |
140 |
$7K |
| D2330 |
|
168 |
101 |
$6K |
| D2335 |
|
48 |
27 |
$3K |
| D2332 |
|
52 |
25 |
$2K |
| D7111 |
|
27 |
13 |
$2K |
| D2394 |
|
16 |
13 |
$902.86 |
| D4346 |
|
18 |
13 |
$792.89 |
| D0170 |
|
25 |
25 |
$598.69 |
| D9110 |
|
22 |
19 |
$439.66 |
| D1330 |
|
21 |
14 |
$0.00 |
| D1999 |
|
1,641 |
1,312 |
$0.00 |