CHILDREN'S DENTAL OF CEDAR CITY
NPI: 1457767840
· CEDAR CITY, UT 84720
· 1223P0221X
$1.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
2,869 |
$87K |
| 2020 |
3,215 |
$108K |
| 2021 |
5,830 |
$233K |
| 2022 |
9,104 |
$408K |
| 2023 |
3,709 |
$118K |
| 2024 |
3,881 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
4,765 |
4,754 |
$560K |
| D9248 |
|
391 |
385 |
$170K |
| D0272 |
|
4,393 |
4,378 |
$71K |
| D1120 |
|
4,995 |
4,982 |
$68K |
| D0150 |
|
290 |
290 |
$43K |
| D1351 |
|
1,357 |
367 |
$39K |
| D2392 |
|
457 |
181 |
$30K |
| D1206 |
|
5,072 |
5,059 |
$28K |
| D0220 |
|
4,845 |
4,814 |
$27K |
| D2150 |
|
566 |
244 |
$14K |
| D2930 |
|
200 |
76 |
$11K |
| D2391 |
|
183 |
85 |
$7K |
| D0330 |
|
650 |
650 |
$7K |
| D2140 |
|
260 |
123 |
$4K |
| D7140 |
|
152 |
75 |
$1K |
| D0274 |
|
32 |
32 |
$0.00 |