CHILDREN 1ST GRAND PRAIRIE, LLC
NPI: 1740561018
· GRAND PRAIRIE, TX 75052
· 261QA1903X
$3.31M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
187 |
$96K |
| 2021 |
1,165 |
$534K |
| 2022 |
1,002 |
$507K |
| 2023 |
1,652 |
$803K |
| 2024 |
1,933 |
$1.37M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
|
5,363 |
5,015 |
$2.69M |
| G0330 |
Facility svs dental rehab |
458 |
451 |
$611K |
| 00170 |
|
118 |
108 |
$7K |