KIDS CAVITY PREVENTION PROGRAM INC.
NPI: 1659686848
· YAKIMA, WA 98903
· Dentist
· NPI assigned 08/11/2010
$640K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,447 |
$376K |
| 2019 |
15,390 |
$264K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
15,504 |
3,422 |
$280K |
| D1208 |
Topical application of fluoride, excluding varnish |
8,514 |
8,462 |
$157K |
| D0191 |
|
7,548 |
7,506 |
$74K |
| D1330 |
|
5,701 |
5,668 |
$70K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,461 |
1,449 |
$56K |
| D1120 |
Prophylaxis - child |
109 |
109 |
$2K |