FAMLIY DENTAL HEALTH CENTER
NPI: 1679745269
· IDAHO FALLS, ID 83401
· 122300000X
$588K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,909 |
$142K |
| 2019 |
4,040 |
$86K |
| 2020 |
3,762 |
$93K |
| 2021 |
6,082 |
$178K |
| 2022 |
1,240 |
$23K |
| 2023 |
911 |
$21K |
| 2024 |
1,645 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
2,297 |
2,296 |
$178K |
| D2393 |
|
1,081 |
626 |
$144K |
| D2392 |
|
3,466 |
1,515 |
$126K |
| D1120 |
|
632 |
632 |
$42K |
| D2740 |
|
83 |
63 |
$34K |
| D0210 |
|
141 |
141 |
$17K |
| D0140 |
|
494 |
487 |
$14K |
| D0330 |
|
309 |
309 |
$9K |
| D0150 |
|
285 |
285 |
$6K |
| D2391 |
|
311 |
200 |
$5K |
| D7210 |
|
42 |
28 |
$5K |
| D2394 |
|
20 |
12 |
$4K |
| D0274 |
|
2,502 |
2,501 |
$2K |
| D0220 |
|
2,438 |
2,396 |
$483.15 |
| D1351 |
|
138 |
24 |
$333.28 |
| D0120 |
|
2,857 |
2,856 |
$291.99 |
| D0272 |
|
329 |
329 |
$190.77 |
| D0230 |
|
3,312 |
1,449 |
$0.00 |
| D1208 |
|
2,810 |
2,810 |
$0.00 |
| D9230 |
|
1,042 |
924 |
$0.00 |