LITTLE BIG KIDS PEDIATRIC DENTISTRY
NPI: 1578109575
· ELLENSBURG, WA 98926
· 1223P0221X
$763K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
411 |
$8K |
| 2021 |
3,154 |
$77K |
| 2022 |
8,032 |
$187K |
| 2023 |
8,684 |
$242K |
| 2024 |
8,259 |
$249K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
3,297 |
3,288 |
$106K |
| D1120 |
|
4,147 |
4,128 |
$106K |
| D1206 |
|
4,476 |
4,432 |
$103K |
| D2392 |
|
1,108 |
563 |
$82K |
| D1351 |
|
2,831 |
601 |
$68K |
| D2391 |
|
1,004 |
427 |
$59K |
| D0150 |
|
1,291 |
1,277 |
$50K |
| D9999 |
|
1,187 |
1,177 |
$38K |
| D9230 |
|
1,416 |
1,318 |
$33K |
| D0272 |
|
2,677 |
2,652 |
$26K |
| D2930 |
|
124 |
26 |
$21K |
| D0330 |
|
512 |
509 |
$21K |
| D0220 |
|
1,246 |
1,221 |
$11K |
| D0140 |
|
373 |
359 |
$9K |
| D1110 |
|
166 |
165 |
$8K |
| D0274 |
|
463 |
462 |
$4K |
| D7140 |
|
72 |
49 |
$4K |
| D0240 |
|
477 |
246 |
$4K |
| D9248 |
|
57 |
53 |
$4K |
| D0230 |
|
1,446 |
607 |
$3K |
| D9630 |
|
46 |
46 |
$2K |
| D1999 |
|
111 |
98 |
$1K |
| D2393 |
|
13 |
13 |
$1K |