STAN KIDTASTIC DENTAL LLC
NPI: 1558902247
· SAN TAN VALLEY, AZ 85143
· 1223P0221X
$2.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18,505 |
$335K |
| 2021 |
33,032 |
$496K |
| 2022 |
34,450 |
$517K |
| 2023 |
31,419 |
$485K |
| 2024 |
27,900 |
$390K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
15,445 |
15,078 |
$321K |
| D0120 |
|
18,360 |
17,949 |
$253K |
| D1206 |
|
20,151 |
19,712 |
$208K |
| D2392 |
|
3,967 |
1,740 |
$179K |
| D0272 |
|
11,290 |
11,015 |
$128K |
| D0274 |
|
8,072 |
7,903 |
$125K |
| D1110 |
|
5,118 |
5,011 |
$119K |
| D0220 |
|
16,253 |
15,851 |
$110K |
| D2930 |
|
1,651 |
735 |
$100K |
| D1351 |
|
7,136 |
1,733 |
$100K |
| D0230 |
|
15,609 |
14,985 |
$90K |
| D0240 |
|
5,923 |
5,230 |
$81K |
| D2391 |
|
1,931 |
1,153 |
$72K |
| D7140 |
|
1,732 |
1,013 |
$71K |
| D3220 |
|
1,202 |
553 |
$60K |
| D0330 |
|
2,627 |
2,562 |
$54K |
| D0150 |
|
2,579 |
2,533 |
$52K |
| D9230 |
|
2,403 |
2,292 |
$31K |
| D0140 |
|
1,452 |
1,403 |
$28K |
| D0145 |
|
1,303 |
1,278 |
$22K |
| D9248 |
|
518 |
494 |
$21K |
| D0602 |
|
572 |
531 |
$0.00 |
| D0601 |
|
12 |
12 |
$0.00 |