47TH STREET DENTAL CENTER, LLC
NPI: 1396116117
· KANSAS CITY, KS 66102
· 1223G0001X
$8.95M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,711 |
$462K |
| 2019 |
59,513 |
$1.65M |
| 2020 |
52,624 |
$1.41M |
| 2021 |
54,416 |
$1.77M |
| 2022 |
38,409 |
$1.31M |
| 2023 |
42,614 |
$1.48M |
| 2024 |
24,306 |
$873K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
|
62,688 |
17,963 |
$1.64M |
| D1120 |
|
28,434 |
27,768 |
$926K |
| D0120 |
|
38,165 |
37,332 |
$881K |
| D1206 |
|
41,789 |
40,853 |
$779K |
| D2930 |
|
5,213 |
2,422 |
$657K |
| D1110 |
|
12,872 |
12,612 |
$582K |
| D0272 |
|
21,494 |
20,995 |
$467K |
| D0274 |
|
13,290 |
13,004 |
$419K |
| D2140 |
|
7,489 |
5,152 |
$409K |
| D2391 |
|
4,969 |
3,070 |
$398K |
| D9230 |
|
13,649 |
12,471 |
$387K |
| D2150 |
|
4,400 |
3,230 |
$288K |
| D2392 |
|
3,216 |
2,083 |
$274K |
| D0330 |
|
7,164 |
7,018 |
$265K |
| D7140 |
|
1,887 |
1,204 |
$175K |
| D0240 |
|
6,229 |
5,919 |
$114K |
| D7240 |
|
588 |
183 |
$99K |
| D0150 |
|
2,849 |
2,766 |
$84K |
| D0220 |
|
2,991 |
2,844 |
$39K |
| D0140 |
|
747 |
713 |
$24K |
| D2393 |
|
120 |
89 |
$11K |
| D0145 |
|
393 |
363 |
$11K |
| D0230 |
|
941 |
482 |
$11K |
| D2330 |
|
59 |
40 |
$5K |
| D1208 |
|
199 |
199 |
$4K |
| D3220 |
|
19 |
12 |
$1K |
| D0251 |
|
53 |
52 |
$1K |
| D1330 |
|
108 |
104 |
$0.00 |
| D0603 |
|
110 |
107 |
$0.00 |
| D1310 |
|
108 |
104 |
$0.00 |
| D1320 |
|
18 |
18 |
$0.00 |
| D1999 |
|
9,269 |
8,687 |
$0.00 |
| D0350 |
|
73 |
73 |
$0.00 |