Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TUCSON TOOTH TOWN DENTISTRY 4 KIDS PLLC

NPI: 1174199301 · TUCSON, AZ 85743 · Pediatric Dentist · NPI assigned 05/28/2021

$67K
Total Medicaid Paid
2,963
Total Claims
2,862
Beneficiaries
12
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENUELAS, NATALY (OFFICE MANAGER)
NPI Enumeration Date05/28/2021

Related Entities

Other providers sharing the same authorized official: PENUELAS, NATALY

ProviderCityStateTotal Paid
TOOTH TOWN DENTISTRY 4 KIDS SAHUARITA AZ $284K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 108 $2K
2022 324 $8K
2023 962 $21K
2024 1,569 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 813 796 $31K
D1206 Topical application of fluoride varnish 811 795 $15K
D0120 Periodic oral evaluation - established patient 427 425 $11K
D0272 Bitewings - two radiographic images 346 339 $7K
D0150 Comprehensive oral evaluation - new or established patient 47 45 $2K
D0220 Intraoral - periapical first radiographic image 62 56 $665.72
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 18 13 $390.45
D0230 Intraoral - periapical each additional radiographic image 54 12 $230.53
D0602 47 47 $0.00
D0603 300 297 $0.00
D0601 12 12 $0.00
D1330 26 25 $0.00