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TREASURE VALLEY PEDIATRIC DENTISTRY
TREASURE VALLEY PEDIATRIC DENTISTRY
NPI: 1568902286
· BOISE, ID 83709
· 1223P0221X
$3.19M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29,836 |
$658K |
| 2019 |
25,289 |
$572K |
| 2020 |
15,755 |
$370K |
| 2021 |
15,659 |
$377K |
| 2022 |
15,205 |
$398K |
| 2023 |
14,603 |
$404K |
| 2024 |
14,181 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
12,731 |
12,705 |
$805K |
| D1110 |
|
7,266 |
7,262 |
$612K |
| D9420 |
|
2,296 |
2,291 |
$601K |
| D2392 |
|
11,235 |
4,788 |
$486K |
| D2393 |
|
1,563 |
971 |
$145K |
| D7140 |
|
5,485 |
2,204 |
$126K |
| D2391 |
|
7,110 |
3,389 |
$110K |
| D0330 |
|
1,554 |
1,553 |
$78K |
| D0210 |
|
1,136 |
1,130 |
$78K |
| D2930 |
|
727 |
271 |
$75K |
| D0140 |
|
1,257 |
1,237 |
$27K |
| D0120 |
|
12,867 |
12,860 |
$12K |
| D7240 |
|
41 |
12 |
$10K |
| D1351 |
|
10,201 |
2,444 |
$10K |
| D0274 |
|
6,191 |
6,187 |
$6K |
| D0150 |
|
980 |
978 |
$5K |
| D1208 |
|
14,641 |
14,618 |
$2K |
| D2331 |
|
30 |
26 |
$2K |
| D0272 |
|
11,915 |
11,786 |
$928.70 |
| D0220 |
|
4,908 |
4,792 |
$796.70 |
| D0145 |
|
13 |
13 |
$352.21 |
| D7111 |
|
247 |
132 |
$274.60 |
| D2330 |
|
17 |
12 |
$240.28 |
| D1206 |
|
3,137 |
3,134 |
$203.81 |
| D9230 |
|
2,504 |
2,352 |
$172.51 |
| D0230 |
|
10,316 |
3,446 |
$0.00 |
| D3110 |
|
124 |
72 |
$0.00 |
| D4355 |
|
14 |
14 |
$0.00 |
| D3220 |
|
22 |
12 |
$0.00 |