KIDS LITTLE SMILES DENTISTRY
NPI: 1225274087
· KINGMAN, AZ 86401
· 1223G0001X
$734K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$238.03 |
| 2019 |
1,590 |
$2K |
| 2020 |
8,977 |
$29K |
| 2021 |
9,328 |
$30K |
| 2022 |
9,765 |
$89K |
| 2023 |
11,016 |
$313K |
| 2024 |
9,573 |
$271K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
7,912 |
7,656 |
$157K |
| D0120 |
|
7,330 |
7,145 |
$93K |
| D1208 |
|
9,910 |
9,571 |
$91K |
| D2930 |
|
1,316 |
547 |
$70K |
| D3220 |
|
1,358 |
542 |
$46K |
| D0330 |
|
1,741 |
1,658 |
$45K |
| D2391 |
|
1,552 |
641 |
$41K |
| D0150 |
|
1,894 |
1,753 |
$38K |
| D1110 |
|
1,686 |
1,619 |
$38K |
| D2392 |
|
935 |
477 |
$30K |
| D0274 |
|
2,323 |
2,217 |
$26K |
| D0272 |
|
2,607 |
2,533 |
$24K |
| D7140 |
|
498 |
221 |
$21K |
| D0145 |
|
180 |
175 |
$4K |
| D1206 |
|
187 |
181 |
$4K |
| D0220 |
|
500 |
473 |
$3K |
| D1351 |
|
267 |
76 |
$2K |
| D0240 |
|
239 |
138 |
$2K |
| D9230 |
|
91 |
86 |
$793.79 |
| D0230 |
|
15 |
14 |
$10.73 |
| D0603 |
|
159 |
146 |
$0.00 |
| D0601 |
|
1,343 |
1,107 |
$0.00 |
| D0602 |
|
6,189 |
5,158 |
$0.00 |
| D9222 |
|
31 |
17 |
$0.00 |