KIDS GRINS-QUEEN CREEK
NPI: 1184347833
· QUEEN CREEK, AZ 85142
· Pediatric Dentist
· NPI assigned 09/19/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BAUGHN, TESSA (OFFICE MANAGER) |
| Parent Organization | JOHN W. TAYLOR, DDS, PLLC |
| NPI Enumeration Date | 09/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
110 |
$0.00 |
| 2023 |
688 |
$0.00 |
| 2024 |
347 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
351 |
349 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
127 |
126 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
152 |
149 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
46 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
161 |
159 |
$0.00 |
| D1120 |
Prophylaxis - child |
215 |
214 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D1354 |
|
81 |
15 |
$0.00 |