Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE KIDS' DENTIST, PLLC

NPI: 1679743470 · MERIDIAN, ID 83646 · Pediatric Dentist · NPI assigned 03/07/2008

$20K
Total Medicaid Paid
939
Total Claims
936
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialMEADORS, LAWRENCE (OWNER/MEMBER)
NPI Enumeration Date03/07/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 939 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 197 197 $14K
D1110 Prophylaxis - adult 70 70 $6K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 14 12 $665.45
D0120 Periodic oral evaluation - established patient 271 271 $167.47
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 26 25 $0.00
D0272 Bitewings - two radiographic images 112 112 $0.00
D1208 Topical application of fluoride, excluding varnish 249 249 $0.00