KID-1 PEDIATRIC DENTISTRY
NPI: 1568689776
· CASA GRANDE, AZ 85222
· 1223P0221X
$1.57M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,597 |
$218K |
| 2019 |
11,744 |
$291K |
| 2020 |
9,900 |
$266K |
| 2021 |
10,769 |
$212K |
| 2022 |
11,788 |
$184K |
| 2023 |
11,685 |
$211K |
| 2024 |
9,769 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,983 |
9,756 |
$267K |
| D0120 |
|
11,651 |
11,383 |
$207K |
| D1206 |
|
15,048 |
14,679 |
$197K |
| D2392 |
|
2,568 |
1,728 |
$149K |
| D1110 |
|
2,861 |
2,768 |
$87K |
| D1351 |
|
4,945 |
1,406 |
$81K |
| D9230 |
|
5,087 |
4,337 |
$80K |
| D0330 |
|
2,390 |
2,307 |
$80K |
| D2930 |
|
739 |
283 |
$63K |
| D0230 |
|
5,196 |
3,111 |
$58K |
| D0274 |
|
2,733 |
2,667 |
$54K |
| D0220 |
|
5,597 |
5,379 |
$50K |
| D7140 |
|
880 |
478 |
$47K |
| D0150 |
|
1,494 |
1,457 |
$41K |
| D2391 |
|
758 |
576 |
$32K |
| D0272 |
|
1,944 |
1,897 |
$27K |
| D0145 |
|
988 |
961 |
$21K |
| D0140 |
|
596 |
579 |
$14K |
| D0240 |
|
618 |
609 |
$6K |
| D0210 |
|
85 |
85 |
$3K |
| D3220 |
|
38 |
14 |
$3K |
| D1354 |
|
53 |
24 |
$417.03 |