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WALNUT HILLS PEDIATRIC DENTISTRY, L.L.C.
WALNUT HILLS PEDIATRIC DENTISTRY, L.L.C.
NPI: 1326343252
· WAUKEE, IA 50263
· Pediatric Dentist
· NPI assigned 01/25/2011
$448K
Total Medicaid Paid
Provider Details
| Authorized Official | WAAGE, NICHOLAS (PEDIATRIC DENTIST/SOLE MEMBER) |
| NPI Enumeration Date | 01/25/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,192 |
$54K |
| 2019 |
2,313 |
$58K |
| 2020 |
2,067 |
$52K |
| 2021 |
2,666 |
$63K |
| 2022 |
3,214 |
$70K |
| 2023 |
3,350 |
$71K |
| 2024 |
3,423 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
5,219 |
5,081 |
$160K |
| D0120 |
Periodic oral evaluation - established patient |
5,518 |
5,355 |
$121K |
| D1206 |
Topical application of fluoride varnish |
5,105 |
4,961 |
$94K |
| D0272 |
Bitewings - two radiographic images |
2,167 |
2,100 |
$43K |
| D1110 |
Prophylaxis - adult |
382 |
368 |
$14K |
| D1351 |
Sealant - per tooth |
323 |
53 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
376 |
367 |
$5K |
| D0274 |
Bitewings - four radiographic images |
52 |
50 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
69 |
68 |
$909.20 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$537.94 |