KIDS DENTISTRY-JEFFERSON MALL,PLLC
NPI: 1639357502
· LOUISVILLE, KY 40219
· 261QD0000X
$9.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29,870 |
$798K |
| 2019 |
33,175 |
$917K |
| 2020 |
31,361 |
$843K |
| 2021 |
31,358 |
$865K |
| 2022 |
44,358 |
$1.45M |
| 2023 |
52,026 |
$2.28M |
| 2024 |
53,482 |
$2.62M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
42,675 |
41,995 |
$2.54M |
| D2930 |
|
9,180 |
2,766 |
$1.21M |
| D0120 |
|
37,860 |
37,247 |
$972K |
| D1206 |
|
45,088 |
44,345 |
$842K |
| D2392 |
|
7,473 |
3,725 |
$554K |
| D7140 |
|
5,784 |
2,630 |
$392K |
| D3220 |
|
5,519 |
2,135 |
$386K |
| D0230 |
|
35,863 |
17,230 |
$329K |
| D0272 |
|
14,449 |
14,189 |
$312K |
| D9230 |
|
7,548 |
6,872 |
$287K |
| D0330 |
|
4,742 |
4,642 |
$282K |
| D0220 |
|
23,045 |
22,296 |
$277K |
| D1351 |
|
10,229 |
2,727 |
$236K |
| D0150 |
|
6,807 |
6,690 |
$231K |
| D0140 |
|
5,651 |
5,393 |
$229K |
| D1110 |
|
3,167 |
3,108 |
$167K |
| D2391 |
|
2,300 |
1,407 |
$146K |
| D0274 |
|
3,243 |
3,184 |
$111K |
| D9248 |
|
1,300 |
1,111 |
$86K |
| D1510 |
|
361 |
277 |
$57K |
| D2335 |
|
373 |
158 |
$47K |
| D0145 |
|
1,331 |
1,308 |
$28K |
| D2330 |
|
268 |
144 |
$20K |
| D9420 |
|
338 |
319 |
$19K |
| D2393 |
|
129 |
80 |
$12K |
| D1354 |
|
252 |
92 |
$2K |
| D2934 |
|
36 |
12 |
$2K |
| D9995 |
|
81 |
75 |
$0.01 |
| D9986 |
|
500 |
438 |
$0.00 |
| D0603 |
|
38 |
38 |
$0.00 |