WITCHITA 21ST DENTAL, PA
NPI: 1639799307
· WICHITA, KS 67206
· 261QD0000X
$802K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
969 |
$17K |
| 2021 |
5,590 |
$152K |
| 2022 |
5,986 |
$175K |
| 2023 |
5,687 |
$208K |
| 2024 |
6,503 |
$250K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
|
2,930 |
605 |
$249K |
| D1110 |
|
2,378 |
2,147 |
$90K |
| D2392 |
|
807 |
399 |
$63K |
| D0330 |
|
1,618 |
1,496 |
$59K |
| D0150 |
|
1,896 |
1,735 |
$54K |
| D0274 |
|
1,909 |
1,755 |
$50K |
| D1351 |
|
1,626 |
189 |
$42K |
| D0120 |
|
1,830 |
1,703 |
$37K |
| D0220 |
|
2,936 |
2,599 |
$25K |
| D1206 |
|
1,394 |
1,315 |
$24K |
| D0140 |
|
853 |
774 |
$22K |
| D1120 |
|
624 |
588 |
$18K |
| D0230 |
|
3,026 |
1,816 |
$18K |
| D2391 |
|
179 |
112 |
$13K |
| D7140 |
|
163 |
53 |
$12K |
| D0210 |
|
196 |
161 |
$9K |
| D0272 |
|
266 |
253 |
$6K |
| D2393 |
|
63 |
39 |
$5K |
| D4346 |
|
12 |
12 |
$2K |
| D4341 |
|
29 |
12 |
$1K |