GILBERT KIDTASTIC DENTAL LLC
NPI: 1497396170
· GILBERT, AZ 85297
· 1223P0221X
$481K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
6,274 |
$54K |
| 2021 |
10,442 |
$89K |
| 2022 |
10,568 |
$130K |
| 2023 |
11,121 |
$133K |
| 2024 |
7,141 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,596 |
6,431 |
$103K |
| D0120 |
|
6,525 |
6,387 |
$67K |
| D1206 |
|
7,727 |
7,538 |
$61K |
| D2392 |
|
961 |
532 |
$31K |
| D1351 |
|
2,909 |
895 |
$29K |
| D0272 |
|
2,854 |
2,788 |
$25K |
| D0240 |
|
3,400 |
2,411 |
$25K |
| D1110 |
|
1,262 |
1,224 |
$24K |
| D2391 |
|
867 |
539 |
$24K |
| D0274 |
|
1,817 |
1,770 |
$22K |
| D0230 |
|
1,686 |
1,170 |
$13K |
| D0150 |
|
624 |
596 |
$12K |
| D9230 |
|
1,353 |
1,242 |
$12K |
| D0330 |
|
579 |
567 |
$11K |
| D0220 |
|
1,887 |
1,816 |
$10K |
| D7140 |
|
99 |
57 |
$4K |
| D0140 |
|
229 |
220 |
$3K |
| D0145 |
|
168 |
164 |
$2K |
| D3120 |
|
152 |
91 |
$1K |
| D0431 |
|
3,851 |
3,533 |
$0.00 |