BLAIR PEDIATRIC DENTISTRY PC
NPI: 1629483987
· BOISE, ID 83713
· 1223P0221X
$667K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,195 |
$166K |
| 2019 |
6,883 |
$139K |
| 2020 |
4,840 |
$91K |
| 2021 |
5,353 |
$105K |
| 2022 |
4,930 |
$103K |
| 2023 |
2,780 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,825 |
6,822 |
$412K |
| D2392 |
|
1,657 |
889 |
$87K |
| D1110 |
|
936 |
936 |
$80K |
| D0150 |
|
468 |
467 |
$22K |
| D0330 |
|
204 |
204 |
$21K |
| D0120 |
|
7,599 |
7,598 |
$12K |
| D2930 |
|
191 |
84 |
$11K |
| D9420 |
|
82 |
82 |
$9K |
| D2391 |
|
209 |
122 |
$5K |
| D0140 |
|
133 |
130 |
$4K |
| D7140 |
|
116 |
68 |
$2K |
| D1351 |
|
1,858 |
445 |
$2K |
| D0145 |
|
38 |
37 |
$984.02 |
| D9230 |
|
1,752 |
1,586 |
$394.78 |
| D0220 |
|
1,358 |
1,330 |
$56.61 |
| D0272 |
|
3,161 |
3,158 |
$31.74 |
| D1206 |
|
6,686 |
6,683 |
$0.00 |
| D0230 |
|
623 |
482 |
$0.00 |
| D3220 |
|
85 |
40 |
$0.00 |