Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KS › LAWRENCE › KIDS DENTIST OF LAWRENCE

KIDS DENTIST OF LAWRENCE

NPI: 1386167658 · LAWRENCE, KS 66049 · Dental Clinic/Center · NPI assigned 07/19/2017

$59K
Total Medicaid Paid
2,860
Total Claims
2,748
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialHENDERSON, KELLI (MEMBER)
NPI Enumeration Date07/19/2017

Related Entities

Other providers sharing the same authorized official: HENDERSON, KELLI

ProviderCityStateTotal Paid
HARVEST THERAPEUTIC SERVICES LLC DENVER CO $874K
GROWING SMILES, LLC LAWRENCE KS $212.08

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 938 $19K
2019 1,834 $38K
2020 88 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 530 523 $15K
D1208 Topical application of fluoride, excluding varnish 600 588 $10K
D0120 Periodic oral evaluation - established patient 291 279 $6K
D0220 Intraoral - periapical first radiographic image 405 398 $5K
D0150 Comprehensive oral evaluation - new or established patient 164 164 $5K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 190 177 $4K
D0274 Bitewings - four radiographic images 144 139 $4K
D0230 Intraoral - periapical each additional radiographic image 393 353 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 22 12 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 18 12 $1K
D0272 Bitewings - two radiographic images 51 51 $1K
D1206 Topical application of fluoride varnish 39 39 $702.78
D0145 Oral evaluation for a patient under three years of age 13 13 $399.62