Home ›
ID ›
AMMON ›
ALLIGATOR PEDIATRIC DENTISTRY ,PLLC
ALLIGATOR PEDIATRIC DENTISTRY ,PLLC
NPI: 1679747588
· AMMON, ID 83406
· 1223P0221X
$394K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,538 |
$61K |
| 2019 |
3,299 |
$60K |
| 2020 |
2,512 |
$45K |
| 2021 |
3,089 |
$56K |
| 2022 |
3,000 |
$50K |
| 2023 |
2,316 |
$41K |
| 2024 |
4,855 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
3,553 |
3,532 |
$196K |
| D1110 |
|
1,401 |
1,396 |
$101K |
| D2392 |
|
829 |
431 |
$34K |
| D0150 |
|
388 |
386 |
$22K |
| D0120 |
|
5,415 |
5,388 |
$17K |
| D0330 |
|
170 |
170 |
$13K |
| D1208 |
|
5,658 |
5,635 |
$3K |
| D0272 |
|
3,244 |
3,235 |
$2K |
| D2391 |
|
151 |
68 |
$2K |
| D2393 |
|
20 |
12 |
$1K |
| D0274 |
|
1,117 |
1,113 |
$992.75 |
| D1351 |
|
382 |
59 |
$840.56 |
| D0220 |
|
240 |
232 |
$227.25 |
| D0230 |
|
29 |
25 |
$0.00 |
| D1999 |
|
12 |
12 |
$0.00 |