FAMILY DENTAL OF BLACKFOOT LLC
NPI: 1205208162
· BLACKFOOT, ID 83221
· 122300000X
$532K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,712 |
$82K |
| 2019 |
5,520 |
$136K |
| 2020 |
6,252 |
$158K |
| 2021 |
4,892 |
$84K |
| 2022 |
2,746 |
$30K |
| 2023 |
2,245 |
$24K |
| 2024 |
1,630 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,947 |
1,944 |
$158K |
| D7210 |
|
1,519 |
468 |
$93K |
| D2392 |
|
2,109 |
1,008 |
$88K |
| D2393 |
|
504 |
303 |
$61K |
| D0210 |
|
532 |
530 |
$44K |
| D1120 |
|
508 |
507 |
$35K |
| D0150 |
|
1,063 |
1,062 |
$19K |
| D0140 |
|
929 |
924 |
$16K |
| D2391 |
|
301 |
180 |
$7K |
| D0330 |
|
131 |
131 |
$4K |
| D4341 |
|
42 |
14 |
$3K |
| D4355 |
|
26 |
26 |
$2K |
| D0274 |
|
1,796 |
1,792 |
$1K |
| D4910 |
|
12 |
12 |
$764.32 |
| D0120 |
|
2,582 |
2,577 |
$512.47 |
| D1208 |
|
595 |
593 |
$467.53 |
| D2331 |
|
15 |
12 |
$299.98 |
| D0220 |
|
3,946 |
3,907 |
$185.90 |
| D1206 |
|
1,837 |
1,834 |
$41.94 |
| D0272 |
|
299 |
298 |
$0.00 |
| D1999 |
|
14 |
14 |
$0.00 |
| D0230 |
|
5,256 |
2,861 |
$-247.78 |
| D9230 |
|
1,034 |
909 |
$-883.05 |