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IDAHO FALLS PEDIATRIC DENTISTRY, PLLC
IDAHO FALLS PEDIATRIC DENTISTRY, PLLC
NPI: 1700447596
· AMMON, ID 83406
· 1223P0221X
$1.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
717 |
$11K |
| 2020 |
7,690 |
$169K |
| 2021 |
12,568 |
$244K |
| 2022 |
13,571 |
$283K |
| 2023 |
13,195 |
$276K |
| 2024 |
10,705 |
$189K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
6,940 |
6,933 |
$308K |
| D2930 |
|
2,394 |
640 |
$210K |
| D2392 |
|
1,695 |
1,036 |
$140K |
| D0145 |
|
1,204 |
1,203 |
$85K |
| D0150 |
|
1,747 |
1,746 |
$82K |
| D0210 |
|
853 |
849 |
$81K |
| D1110 |
|
966 |
966 |
$80K |
| D2391 |
|
1,382 |
883 |
$71K |
| D0140 |
|
1,860 |
1,774 |
$39K |
| D7140 |
|
813 |
412 |
$28K |
| D0330 |
|
786 |
785 |
$22K |
| D1351 |
|
4,996 |
1,039 |
$21K |
| D2332 |
|
18 |
13 |
$1K |
| D1206 |
|
7,462 |
7,455 |
$1K |
| D0274 |
|
817 |
817 |
$739.85 |
| D0120 |
|
4,890 |
4,886 |
$456.29 |
| D0220 |
|
5,540 |
5,391 |
$413.19 |
| D0272 |
|
4,327 |
4,321 |
$286.26 |
| D0230 |
|
5,698 |
4,443 |
$252.52 |
| D9420 |
|
241 |
241 |
$92.27 |
| D9230 |
|
2,542 |
2,330 |
$16.42 |
| D0240 |
|
178 |
90 |
$0.00 |
| D1999 |
|
1,084 |
1,051 |
$0.00 |
| D9986 |
|
13 |
13 |
$0.00 |