BURLEY KIDS DENTAL, LLC
NPI: 1245769439
· BURLEY, ID 83318
· 1223P0221X
$1.40M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,467 |
$203K |
| 2019 |
12,070 |
$178K |
| 2020 |
10,560 |
$136K |
| 2021 |
12,391 |
$216K |
| 2022 |
12,746 |
$225K |
| 2023 |
12,152 |
$229K |
| 2024 |
11,081 |
$217K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,775 |
6,769 |
$512K |
| D1110 |
|
3,973 |
3,966 |
$381K |
| D2392 |
|
2,311 |
1,523 |
$204K |
| D0330 |
|
1,016 |
1,016 |
$104K |
| D2391 |
|
1,648 |
1,170 |
$98K |
| D7140 |
|
667 |
350 |
$32K |
| D2930 |
|
399 |
105 |
$28K |
| D0150 |
|
185 |
185 |
$15K |
| D0145 |
|
200 |
199 |
$10K |
| D1351 |
|
6,602 |
1,809 |
$9K |
| D0120 |
|
10,023 |
10,011 |
$6K |
| D0140 |
|
165 |
163 |
$4K |
| D1354 |
|
91 |
42 |
$510.00 |
| D9230 |
|
4,088 |
3,843 |
$452.28 |
| D0274 |
|
3,284 |
3,279 |
$154.49 |
| D0220 |
|
10,302 |
10,208 |
$137.43 |
| D1208 |
|
5,171 |
5,161 |
$88.64 |
| D1206 |
|
6,128 |
6,125 |
$13.55 |
| D0272 |
|
5,652 |
5,648 |
$0.00 |
| D1999 |
|
1,253 |
1,240 |
$0.00 |
| D9986 |
|
95 |
87 |
$0.00 |
| D0230 |
|
13,439 |
9,553 |
$-517.12 |