KIDS DENTISTREE OF KY LLC
NPI: 1588204655
· LOUISVILLE, KY 40291
· 1223P0221X
$3.20M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
4,036 |
$146K |
| 2022 |
20,407 |
$823K |
| 2023 |
24,549 |
$1.15M |
| 2024 |
24,105 |
$1.09M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
9,795 |
9,667 |
$661K |
| D2930 |
|
3,146 |
834 |
$416K |
| D2392 |
|
4,129 |
2,535 |
$332K |
| D0120 |
|
7,354 |
7,274 |
$227K |
| D1206 |
|
8,619 |
8,499 |
$189K |
| D9230 |
|
3,802 |
3,648 |
$155K |
| D7140 |
|
1,930 |
1,101 |
$146K |
| D2391 |
|
2,228 |
1,462 |
$142K |
| D0150 |
|
3,917 |
3,862 |
$142K |
| D0330 |
|
1,966 |
1,933 |
$113K |
| D1351 |
|
4,082 |
1,468 |
$102K |
| D0272 |
|
3,818 |
3,772 |
$91K |
| D3220 |
|
959 |
358 |
$72K |
| D0230 |
|
6,978 |
2,670 |
$65K |
| D0140 |
|
1,164 |
1,135 |
$59K |
| D2393 |
|
579 |
460 |
$57K |
| D1110 |
|
961 |
946 |
$56K |
| D0220 |
|
4,184 |
4,030 |
$52K |
| D2335 |
|
440 |
178 |
$49K |
| D1208 |
|
1,726 |
1,710 |
$28K |
| D0274 |
|
762 |
755 |
$26K |
| D9420 |
|
294 |
285 |
$21K |
| D7961 |
|
13 |
12 |
$3K |
| D1354 |
|
170 |
70 |
$2K |
| D3120 |
|
57 |
36 |
$91.80 |
| D0603 |
|
24 |
24 |
$0.00 |