HEALTHY KIDS DENTISTRY LLC
NPI: 1649937483
· SILVER SPRING, MD 20906
· Pediatric Dentist
· NPI assigned 11/28/2021
$278K
Total Medicaid Paid
Provider Details
| Authorized Official | ALLAFI, CYRUS (CEO) |
| NPI Enumeration Date | 11/28/2021 |
Related Entities
Other providers sharing the same authorized official: ALLAFI, CYRUS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
740 |
$21K |
| 2023 |
3,086 |
$98K |
| 2024 |
4,677 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,400 |
1,383 |
$67K |
| D1206 |
Topical application of fluoride varnish |
2,205 |
2,175 |
$56K |
| D0120 |
Periodic oral evaluation - established patient |
1,367 |
1,351 |
$43K |
| D1351 |
Sealant - per tooth |
887 |
167 |
$35K |
| D1110 |
Prophylaxis - adult |
342 |
342 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
296 |
290 |
$16K |
| D0274 |
Bitewings - four radiographic images |
332 |
330 |
$8K |
| D0330 |
Panoramic radiographic image |
145 |
145 |
$7K |
| D1330 |
|
859 |
848 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
283 |
259 |
$6K |
| D3120 |
|
91 |
41 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
23 |
12 |
$3K |
| D0272 |
Bitewings - two radiographic images |
172 |
172 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
38 |
38 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
63 |
63 |
$744.66 |