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KOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC
KOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC
NPI: 1538798475
· BEAR, DE 19701
· 1223P0221X
$1.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
51 |
$915.00 |
| 2021 |
3,383 |
$137K |
| 2022 |
9,064 |
$460K |
| 2023 |
9,223 |
$449K |
| 2024 |
11,129 |
$588K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,367 |
561 |
$339K |
| D1120 |
|
4,783 |
4,702 |
$257K |
| D1206 |
|
5,335 |
5,250 |
$172K |
| D1351 |
|
4,024 |
767 |
$168K |
| D0120 |
|
3,350 |
3,280 |
$144K |
| D2391 |
|
581 |
293 |
$116K |
| D9230 |
|
1,122 |
1,085 |
$84K |
| D0150 |
|
1,334 |
1,292 |
$82K |
| D0272 |
|
1,782 |
1,747 |
$65K |
| D2930 |
|
159 |
64 |
$45K |
| D1110 |
|
437 |
433 |
$33K |
| D0220 |
|
1,296 |
1,270 |
$32K |
| D0140 |
|
453 |
432 |
$29K |
| D0230 |
|
1,059 |
1,004 |
$21K |
| D0274 |
|
277 |
276 |
$15K |
| D0145 |
|
251 |
248 |
$14K |
| D7140 |
|
53 |
38 |
$11K |
| D3220 |
|
34 |
12 |
$6K |
| D0330 |
|
16 |
16 |
$1K |
| D0601 |
|
338 |
329 |
$0.00 |
| D0603 |
|
4,799 |
4,746 |
$0.00 |