SPROUT PEDIATRIC DENTISTRY
NPI: 1366198632
· LOWELL, AR 72745
· Dental Clinic/Center
· NPI assigned 02/25/2022
$340K
Total Medicaid Paid
Provider Details
| Authorized Official | HANKINS, AMANDA (OWNER/DENTIST) |
| NPI Enumeration Date | 02/25/2022 |
Related Entities
Other providers sharing the same authorized official: HANKINS, AMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,225 |
$63K |
| 2023 |
5,325 |
$130K |
| 2024 |
6,179 |
$148K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,089 |
2,050 |
$66K |
| D0120 |
|
2,461 |
2,410 |
$60K |
| D0240 |
|
2,278 |
1,145 |
$50K |
| D1206 |
|
2,092 |
2,054 |
$37K |
| D0272 |
|
1,458 |
1,429 |
$31K |
| D2930 |
|
241 |
67 |
$29K |
| D1110 |
|
370 |
358 |
$17K |
| D9230 |
|
678 |
608 |
$15K |
| D0140 |
|
410 |
393 |
$12K |
| D0330 |
|
131 |
124 |
$7K |
| D1351 |
|
267 |
79 |
$6K |
| D2150 |
|
77 |
40 |
$5K |
| D0603 |
|
1,177 |
1,147 |
$5K |