IDAHO PEDIATRIC DENTISTRY
NPI: 1467697177
· NAMPA, ID 83687
· 1223X0400X
$4.91M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35,020 |
$734K |
| 2019 |
34,655 |
$764K |
| 2020 |
28,721 |
$600K |
| 2021 |
34,739 |
$758K |
| 2022 |
33,526 |
$747K |
| 2023 |
32,903 |
$710K |
| 2024 |
26,980 |
$601K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
21,688 |
21,672 |
$1.62M |
| D1110 |
|
10,341 |
10,332 |
$1.26M |
| D0330 |
|
4,231 |
4,227 |
$325K |
| D0210 |
|
1,357 |
1,357 |
$303K |
| D9420 |
|
911 |
908 |
$266K |
| D2392 |
|
2,968 |
2,061 |
$224K |
| D2930 |
|
5,506 |
1,124 |
$203K |
| D8670 |
|
2,575 |
2,554 |
$195K |
| D0150 |
|
7,071 |
7,064 |
$183K |
| D2391 |
|
1,736 |
1,441 |
$100K |
| D0140 |
|
1,834 |
1,820 |
$58K |
| D8660 |
|
955 |
947 |
$57K |
| D7140 |
|
1,105 |
672 |
$39K |
| D2932 |
|
93 |
25 |
$21K |
| D1351 |
|
51,477 |
9,356 |
$20K |
| D0274 |
|
9,762 |
9,756 |
$10K |
| D9248 |
|
58 |
58 |
$6K |
| D9230 |
|
4,402 |
4,300 |
$6K |
| D0120 |
|
23,688 |
23,672 |
$5K |
| D1354 |
|
867 |
385 |
$4K |
| D2332 |
|
16 |
12 |
$3K |
| D0220 |
|
13,542 |
13,383 |
$1K |
| D0272 |
|
17,918 |
17,868 |
$920.13 |
| D2920 |
|
12 |
12 |
$570.33 |
| D0145 |
|
823 |
822 |
$141.26 |
| D1208 |
|
23,798 |
23,775 |
$27.10 |
| D0240 |
|
105 |
78 |
$8.70 |
| D0230 |
|
9,789 |
9,290 |
$8.19 |
| D1206 |
|
7,916 |
7,914 |
$0.00 |