HURRICANE PEDIATRIC DENTISTRY
NPI: 1720480411
· HURRICANE, UT 84737
· 122300000X
$449K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
448 |
$8K |
| 2020 |
5,094 |
$141K |
| 2021 |
5,743 |
$170K |
| 2022 |
4,251 |
$124K |
| 2023 |
103 |
$4K |
| 2024 |
106 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,221 |
2,213 |
$276K |
| D2392 |
|
1,303 |
615 |
$74K |
| D1351 |
|
659 |
167 |
$32K |
| D2391 |
|
636 |
363 |
$31K |
| D2150 |
|
1,001 |
482 |
$8K |
| D0150 |
|
51 |
51 |
$8K |
| D2140 |
|
548 |
313 |
$6K |
| D0220 |
|
2,354 |
2,321 |
$6K |
| D1206 |
|
1,636 |
1,636 |
$2K |
| D1120 |
|
1,846 |
1,840 |
$2K |
| D0230 |
|
1,397 |
1,359 |
$975.64 |
| D0272 |
|
901 |
901 |
$734.85 |
| D1110 |
|
40 |
38 |
$619.08 |
| D0274 |
|
606 |
602 |
$513.45 |
| D2393 |
|
17 |
12 |
$184.67 |
| D0603 |
|
195 |
183 |
$0.00 |
| D2160 |
|
17 |
12 |
$0.00 |
| D0330 |
|
174 |
174 |
$0.00 |
| D1999 |
|
143 |
143 |
$0.00 |