IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC

NPI: 1295273688 · CEDAR HILL, TX 75104 · Pediatric Dentist · NPI assigned 02/06/2017

$410K

Total Medicaid Paid

14,616

Total Claims

11,854

Beneficiaries

Codes Billed

2020-10

First Month

2021-11

Last Month

Provider Details

Authorized Official	AGUILAR, ALYSSA (DIRECTOR OF REVENUE & CREDENTIALING)
NPI Enumeration Date	02/06/2017

Other providers sharing the same authorized official: AGUILAR, ALYSSA

Provider	City	State	Total Paid
IKIDS PEDIATRIC DENTISTRY ARLINGTON	ARLINGTON	TX	$1.05M
IKIDS PEDIATRIC DENTISTRY FORT WORTH, P.C.	FORT WORTH	TX	$948K
IKIDS PEDIATRIC DENTISTRY AND ORTHODONTICS NFW	FORT WORTH	TX	$856K
IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC	BURLESON	TX	$769K
IKIDS PEDIATRIC DENTISTRY, PC	MANSFIELD	TX	$518K
IKIDS PEDIATRIC DENTISTRY ENNIS, PLLC	ENNIS	TX	$432K
IKIDS PEDIATRIC DENTISTRY DENTON, PLLC	DENTON	TX	$263K
IKIDS PEDIATRIC DENTISTRY WAXAHACHIE PLLC	WAXAHACHIE	TX	$179K
IKIDS PEDIATRIC DENTISTRY TYLER, PLLC	TYLER	TX	$149K
IKIDS PEDIATRIC DENTISTRY VIRIDIAN, PLLC	ARLINGTON	TX	$121K
IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC	DALLAS	TX	$2K

Year	Claims	Total Paid
2020	1,910	$56K
2021	12,706	$354K

Code	Claims	Beneficiaries	Total Paid
D2930	476	122	$62K
D2392	545	207	$50K
D1351	1,948	352	$50K
D0145	344	342	$48K
D1120	1,161	1,147	$41K
D0120	1,086	1,070	$30K
D1206	1,359	1,341	$19K
D0272	772	760	$17K
D0220	1,447	1,380	$17K
D0150	434	430	$15K
D3220	191	53	$15K
D0230	1,285	1,166	$14K
D9230	373	354	$10K
D1110	148	147	$8K
D0210	98	98	$7K
D0274	108	107	$3K
D1208	129	128	$2K
D2391	25	17	$2K
D9248	13	13	$1K
D7140	22	14	$896.84
D0330	27	27	$550.68
D0140	17	17	$317.38
D1999	372	354	$0.00
D0603	2,236	2,208	$0.00