MAIN STREET DENTAL OF KENYON PA
NPI: 1700136116
· KENYON, MN 55946
· 261QD0000X
$2.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,004 |
$37K |
| 2020 |
1,853 |
$34K |
| 2021 |
3,104 |
$62K |
| 2022 |
4,532 |
$139K |
| 2023 |
8,046 |
$318K |
| 2024 |
11,158 |
$1.46M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2722 |
|
854 |
474 |
$918K |
| D2950 |
|
1,080 |
653 |
$209K |
| D0230 |
|
12,233 |
3,992 |
$154K |
| D1110 |
|
2,082 |
2,072 |
$133K |
| D1206 |
|
2,490 |
2,476 |
$81K |
| D0220 |
|
4,584 |
4,286 |
$80K |
| D0330 |
|
799 |
799 |
$77K |
| D0274 |
|
1,669 |
1,665 |
$73K |
| D5226 |
|
41 |
40 |
$58K |
| D0120 |
|
1,764 |
1,751 |
$57K |
| D0150 |
|
924 |
924 |
$46K |
| D3330 |
|
54 |
52 |
$38K |
| D1330 |
|
750 |
749 |
$29K |
| D7210 |
|
171 |
75 |
$27K |
| D0140 |
|
602 |
584 |
$26K |
| D2332 |
|
87 |
50 |
$13K |
| D0210 |
|
110 |
110 |
$12K |
| D7140 |
|
79 |
30 |
$9K |
| D1120 |
|
134 |
134 |
$5K |
| D1351 |
|
111 |
29 |
$5K |
| D2392 |
|
23 |
12 |
$3K |
| D9985 |
|
56 |
48 |
$0.00 |