KENNEDY FAMILY DENTISTRY, INC
NPI: 1407049612
· SACRAMENTO, CA 95864
· 302R00000X
$118K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,395 |
$25K |
| 2019 |
3,451 |
$20K |
| 2020 |
2,124 |
$17K |
| 2021 |
2,227 |
$22K |
| 2022 |
1,858 |
$22K |
| 2023 |
614 |
$10K |
| 2024 |
162 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,276 |
2,163 |
$36K |
| D1120 |
|
1,646 |
1,579 |
$20K |
| D1206 |
|
1,621 |
1,551 |
$20K |
| D0220 |
|
3,032 |
2,739 |
$13K |
| D0150 |
|
407 |
403 |
$7K |
| D0230 |
|
2,889 |
2,086 |
$5K |
| D9110 |
|
263 |
219 |
$3K |
| D0274 |
|
345 |
337 |
$3K |
| D0272 |
|
666 |
638 |
$3K |
| D0210 |
|
110 |
110 |
$2K |
| D9430 |
|
138 |
132 |
$2K |
| D1110 |
|
38 |
37 |
$1K |
| D1208 |
|
147 |
146 |
$1K |
| D0999 |
|
14 |
14 |
$840.00 |
| D9999 |
|
13 |
13 |
$520.00 |
| D1330 |
|
1,025 |
984 |
$0.00 |
| D0601 |
|
42 |
25 |
$0.00 |
| D1310 |
|
72 |
49 |
$0.00 |
| D9993 |
|
41 |
25 |
$0.00 |
| D0707 |
|
46 |
42 |
$0.00 |