FLAGSTAFF DENTISTRY 4 KIDS, PLLC
NPI: 1427411255
· FLAGSTAFF, AZ 86001
· 1223G0001X
$10.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,018 |
$483K |
| 2019 |
21,663 |
$661K |
| 2020 |
28,496 |
$809K |
| 2021 |
40,787 |
$1.32M |
| 2022 |
48,259 |
$1.72M |
| 2023 |
59,645 |
$2.45M |
| 2024 |
69,293 |
$2.91M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
|
10,745 |
2,371 |
$1.44M |
| D1120 |
|
29,825 |
29,608 |
$1.30M |
| D2392 |
|
13,237 |
7,051 |
$1.17M |
| D1206 |
|
36,848 |
36,479 |
$805K |
| D0120 |
|
21,659 |
21,483 |
$631K |
| D0150 |
|
10,029 |
9,943 |
$463K |
| D1351 |
|
17,593 |
6,609 |
$461K |
| D0230 |
|
38,190 |
13,878 |
$443K |
| D0272 |
|
19,438 |
19,216 |
$438K |
| D2391 |
|
5,300 |
3,371 |
$367K |
| D0274 |
|
9,877 |
9,791 |
$332K |
| D0330 |
|
5,915 |
5,851 |
$331K |
| D1110 |
|
5,695 |
5,620 |
$312K |
| D2393 |
|
2,467 |
1,797 |
$295K |
| D7140 |
|
3,391 |
1,613 |
$293K |
| D0220 |
|
17,115 |
16,869 |
$251K |
| D2929 |
|
1,336 |
334 |
$186K |
| D9248 |
|
1,805 |
1,729 |
$166K |
| D1354 |
|
7,743 |
2,391 |
$155K |
| D9230 |
|
5,252 |
5,001 |
$137K |
| D0145 |
|
3,401 |
3,387 |
$115K |
| D0350 |
|
3,939 |
3,910 |
$115K |
| D3220 |
|
882 |
317 |
$76K |
| D0140 |
|
1,349 |
1,324 |
$52K |
| D2331 |
|
103 |
68 |
$11K |
| D2330 |
|
96 |
63 |
$8K |
| D2332 |
|
28 |
13 |
$4K |
| D1353 |
|
52 |
29 |
$2K |
| D1352 |
|
24 |
14 |
$846.10 |
| D1999 |
|
15 |
15 |
$133.02 |
| D0602 |
|
1,360 |
1,348 |
$0.00 |
| D0603 |
|
10,293 |
10,167 |
$0.00 |
| D0601 |
|
159 |
155 |
$0.00 |