TOOTH B.U.D.D.S., INC.
NPI: 1750811584
· PIMA, AZ 85543
· Dental Hygienist
· NPI assigned 06/14/2017
$286K
Total Medicaid Paid
Provider Details
| Authorized Official | MCRAE, MIQUEL (CHAIRMAN/PROGRAM ADMINISTRATOR) |
| NPI Enumeration Date | 06/14/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
120 |
$3K |
| 2019 |
1,610 |
$28K |
| 2020 |
610 |
$13K |
| 2021 |
2,170 |
$36K |
| 2022 |
4,104 |
$38K |
| 2023 |
7,900 |
$93K |
| 2024 |
7,197 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
7,010 |
1,967 |
$82K |
| D1120 |
Prophylaxis - child |
3,974 |
3,788 |
$71K |
| D0191 |
|
4,092 |
3,894 |
$58K |
| D1206 |
Topical application of fluoride varnish |
3,874 |
3,687 |
$40K |
| D1354 |
|
3,526 |
1,044 |
$36K |
| D0190 |
|
20 |
20 |
$221.58 |
| D1330 |
|
1,215 |
1,171 |
$0.00 |