NEW RICHMOND KIDDS PEDIATRIC DENTISTRY LLC
NPI: 1508478454
· NEW RICHMOND, WI 54017
· Pediatric Dentist
· NPI assigned 08/21/2020
$407K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: RINDELAUB, DARCY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
94 |
$0.00 |
| 2021 |
1,503 |
$27K |
| 2022 |
4,442 |
$108K |
| 2023 |
5,903 |
$143K |
| 2024 |
5,341 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
4,795 |
4,654 |
$136K |
| D0120 |
Periodic oral evaluation - established patient |
3,998 |
3,871 |
$84K |
| D1206 |
Topical application of fluoride varnish |
4,481 |
4,354 |
$75K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
358 |
209 |
$28K |
| D0272 |
Bitewings - two radiographic images |
1,496 |
1,444 |
$27K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
692 |
603 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
431 |
422 |
$12K |
| D0330 |
Panoramic radiographic image |
180 |
179 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
531 |
519 |
$6K |
| D1351 |
Sealant - per tooth |
120 |
41 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
201 |
117 |
$1K |