SPECIAL CARE DENTAL OF KENTUCKY PLLC
NPI: 1295007383
· LOUISVILLE, KY 40243
· General Practice Dentistry
· NPI assigned 02/03/2012
$1.98M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CRANFILL, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,161 |
$136K |
| 2019 |
7,792 |
$259K |
| 2020 |
6,354 |
$153K |
| 2021 |
10,563 |
$310K |
| 2022 |
7,676 |
$240K |
| 2023 |
11,615 |
$383K |
| 2024 |
18,043 |
$504K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
31,109 |
29,113 |
$890K |
| D1110 |
Prophylaxis - adult |
11,080 |
10,272 |
$471K |
| D0210 |
Intraoral - complete series of radiographic images |
4,898 |
4,642 |
$267K |
| D0120 |
Periodic oral evaluation - established patient |
7,470 |
6,923 |
$180K |
| D9410 |
|
2,123 |
1,973 |
$100K |
| D1354 |
|
6,450 |
1,051 |
$70K |
| D0140 |
Limited oral evaluation - problem focused |
146 |
128 |
$5K |
| D4355 |
|
12 |
12 |
$753.50 |
| D0220 |
Intraoral - periapical first radiographic image |
78 |
65 |
$590.00 |
| D0274 |
Bitewings - four radiographic images |
16 |
12 |
$345.00 |
| D1330 |
|
13 |
12 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
47 |
28 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| D1999 |
|
3,728 |
3,688 |
$0.00 |
| D1120 |
Prophylaxis - child |
22 |
16 |
$0.00 |