KIDSPACE PEDIATRIC DENTISTRY,P.A
NPI: 1245370345
· WICHITA, KS 67208
· 1223P0221X
$4.34M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14,969 |
$663K |
| 2019 |
17,935 |
$627K |
| 2020 |
20,666 |
$695K |
| 2021 |
28,419 |
$1.14M |
| 2022 |
27,443 |
$1.06M |
| 2023 |
4,452 |
$159K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2930 |
|
7,436 |
1,850 |
$859K |
| D1120 |
|
15,410 |
15,041 |
$445K |
| D2392 |
|
5,656 |
2,648 |
$422K |
| D3220 |
|
6,959 |
1,719 |
$407K |
| D1206 |
|
17,604 |
17,163 |
$312K |
| D0120 |
|
12,233 |
12,021 |
$272K |
| D7140 |
|
2,842 |
1,204 |
$250K |
| D2391 |
|
2,794 |
1,534 |
$199K |
| D1351 |
|
7,232 |
1,719 |
$184K |
| D9420 |
|
2,389 |
2,299 |
$180K |
| D0272 |
|
8,426 |
8,254 |
$176K |
| D0240 |
|
6,275 |
3,398 |
$98K |
| D9230 |
|
3,283 |
3,148 |
$93K |
| D0150 |
|
2,930 |
2,883 |
$89K |
| D0330 |
|
1,679 |
1,649 |
$63K |
| D1110 |
|
1,395 |
1,357 |
$61K |
| D2390 |
|
309 |
95 |
$45K |
| D0230 |
|
4,035 |
1,491 |
$45K |
| D0274 |
|
1,327 |
1,289 |
$41K |
| D0220 |
|
2,516 |
2,474 |
$33K |
| D2393 |
|
233 |
127 |
$19K |
| D0210 |
|
305 |
298 |
$17K |
| D0140 |
|
494 |
472 |
$15K |
| D1510 |
|
82 |
53 |
$12K |
| D2331 |
|
22 |
13 |
$2K |
| D0145 |
|
18 |
18 |
$553.32 |